ANDREW MAMMEN M.D.
NPI 1619923786
Psychiatry & Neurology - Neurology in Baltimore, MD

Q: What is Andrew Mammen's NPI number?

The NPI number for Andrew Mammen is 1619923786. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Q: What is Andrew Mammen's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Mammen was last updated on February 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since May 26, 2006PECOS Enrolled

4940 EASTERN AVE, BALTIMORE, MD 21224(410) 550-5624 Get Directions Write a Review

NPPES record last updated: February 12, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Andrew Mammen M.d. NPPES

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

ANDREW MAMMEN M.D. (NPI 1619923786) is an individual neurology provider in Baltimore, Maryland, licensed in Maryland (D61931) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619923786

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameANDREW MAMMENCredential: M.D.

Location Address4940 EASTERN AVEBaltimore, MD 21224-2735

Mailing AddressPo Box 64227Baltimore, MD 21264-4227 · (410) 550-5624

Phone(410) 550-5624

Sole ProprietorNo

Enumeration DateMay 26, 2006

Last NPPES UpdateFebruary 12, 2013

✔ NPI 1619923786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in MD · D61931

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

4940 EASTERN AVE, Baltimore, MD 21224

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Other Identifiers 2

Medicaid410422600MD

Medicare PINKR37N702MD

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Mammen M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21224 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

$139.05 typical visit price

range $60.73 – $183.44

Typical copayment $34.76 (range $15.18 – $45.86)

Most-billed visit code 99204

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

Most-billed visit code 99214

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.

DR. SUSRUTHA KOTWAL MD

Internal Medicine

4940 EASTERN AVE, MFL BLDG, WEST TOWER, 6TH FLOOR
BALTIMORE, MD 21224

Baltimore City (410) 550-5018

DR. SAMANTHA A WOLFE MD

Otolaryngology