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JOSEPH TOBIAS BANUELOS MANCILLA MD
NPI 1568087906
Student in an Organized Health Care Education/Training Program in Pittsburgh, PA

Active since June 11, 2020PECOS Enrolled
4401 PENN AVE STE 7107, PITTSBURGH, PA 15224(412) 692-8614(412) 692-8614 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 29, 2025, Jul 6, 2021, Aug 26, 2020 and 1 more (4 updates tracked since 2020).

About Joseph Tobias Banuelos Mancilla Md NPPES

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

JOSEPH TOBIAS BANUELOS MANCILLA MD (NPI 1568087906) is an individual student in an organized health care education/training program in Pittsburgh, Pennsylvania and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568087906
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOSEPH TOBIAS BANUELOS MANCILLACredential: MD
Location Address4401 PENN AVE STE 7107Pittsburgh, PA 15224-1334
Mailing Address3600 Forbes Ave Ste 14Pittsburgh, PA 15213-3410 · (412) 647-0383
Phone(412) 692-8614
Fax(412) 692-8614
Sole ProprietorNo
Enumeration DateJune 11, 2020
Last NPPES UpdateJuly 23, 20254 updates tracked since enumeration
NPPES CertifiedJuly 23, 2025
✔ NPI 1568087906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4401 PENN AVE STE 7107, Pittsburgh, PA 15224
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joseph Tobias Banuelos Mancilla Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Joseph Banuelos Mancilla's NPI number?

The NPI number for Joseph Banuelos Mancilla is 1568087906. It was assigned to this individual provider in the NPPES registry on June 11, 2020.

Where is Joseph Banuelos Mancilla located?

Joseph Banuelos Mancilla practices at 4401 Penn Ave Ste 7107, Pittsburgh, PA 15224. The listed phone number is (412) 692-8614.

What is Joseph Banuelos Mancilla's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Joseph Banuelos Mancilla enrolled in Medicare?

Yes. Joseph Banuelos Mancilla is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Joseph Banuelos Mancilla was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.