MARK MANGKHALAKHILI PA-C
NPI 1508517897
Physician Assistant in Williamsville, NY

Active since January 18, 2022PECOS EnrolledAccepts Medicare Assignment
400 INTERNATIONAL DR, WILLIAMSVILLE, NY 14221(716) 631-3555 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 12, 2025, Jun 20, 2024, Jul 3, 2023 and 2 more (5 updates tracked since 2022).

About Mark Mangkhalakhili Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK MANGKHALAKHILI PA-C (NPI 1508517897) is an individual physician assistant in Williamsville, New York, licensed in New York (032617) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1508517897
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMARK MANGKHALAKHILICredential: PA-C
Location Address400 INTERNATIONAL DRWilliamsville, NY 14221-5771
Mailing Address400 International DrWilliamsville, NY 14221-5771 · (716) 631-3555
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 18, 2022
Last NPPES UpdateFebruary 12, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2025
NPI 1508517897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in NY · 032617 Licensed in MA · PA9474 Licensed in NH · 2127
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
400 INTERNATIONAL DR, Williamsville, NY 14221

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mark Mangkhalakhili Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991142317
PECOS Enrollment IDI20250102002044
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
312 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14221 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Urology
400 INTERNATIONAL DR
WILLIAMSVILLE, NY 14221
Nurse Practitioner (Adult Health)
400 INTERNATIONAL DR
WILLIAMSVILLE, NY 14221
Massage Therapist
400 INTERNATIONAL DR
WILLIAMSVILLE, NY 14221
Internal Medicine
400 INTERNATIONAL DR
WILLIAMSVILLE, NY 14221
Massage Therapist
400 INTERNATIONAL DR
WILLIAMSVILLE, NY 14221
Nurse Practitioner (Family)
400 INTERNATIONAL DR
WILLIAMSVILLE, NY 14221
Physician Assistant
400 INTERNATIONAL DR
WILLIAMSVILLE, NY 14221
Psychiatry & Neurology (Neurology)
400 INTERNATIONAL DR
WILLIAMSVILLE, NY 14221

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 Mark Mangkhalakhili's NPI number?

The NPI number for Mark Mangkhalakhili is 1508517897. It was assigned to this individual provider in the NPPES registry on January 18, 2022.

Where is Mark Mangkhalakhili located?

Mark Mangkhalakhili practices at 400 International Dr, Williamsville, NY 14221. The listed phone number is (716) 631-3555.

What is Mark Mangkhalakhili's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mark Mangkhalakhili enrolled in Medicare?

Yes. Mark Mangkhalakhili is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mark Mangkhalakhili was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.