DR. JOHN P MAMANA M.D.
NPI 1487654554
Internal Medicine in Reston, VA
About Dr. John P Mamana M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN P MAMANA M.D. (NPI 1487654554) is an individual internal medicine provider in Reston, Virginia, licensed in Virginia (0101021602) and active in the NPI registry since July 2005. He has opted out of Medicare through May 9, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 20
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. John P Mamana M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 9, 2014 through May 9, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20191 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is John Mamana's NPI number?
The NPI number for John Mamana is 1487654554. It was assigned to this individual provider in the NPPES registry on July 29, 2005. The provider is also known as Dr. John Philip Mamana M.D..
Where is John Mamana located?
John Mamana practices at 12040 S Lakes Dr Suite 205, Reston, VA 20191. The listed phone number is (703) 230-6990.
What is John Mamana's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is John Mamana enrolled in Medicare?
No. John Mamana has opted out of Medicare through May 9, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for John Mamana was last updated on March 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. John P Mamana, M.D. · NPI 1487654554
Internal Medicine physician in Reston, Virginia. Individual provider, active in the CMS NPPES registry since July 29, 2005.
## Identity
- **NPI:** 1487654554 (Entity type: Individual)
- **Enumerated:** July 29, 2005
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 0101021602 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 12040 S LAKES DR, SUITE 205, Reston, VA 20191-1246
- **Phone:** (703) 230-6990 · **Fax:** (703) 230-6990
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through May 9, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** March 25, 2010
- **Other identifiers:** Other 0400438 (VA); Other 110184237 (VA); Other 257642 (VA); and 17 more
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Source: [NPI Profile](https://npiprofile.com/npi/1487654554) · Data from the CMS NPPES public registry.