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SABALA R. MANDAVA M.D.
NPI 1669540308
Radiology - Diagnostic Radiology in Detroit, MI

Active since December 01, 2006PECOS EnrolledAccepts Medicare Assignment
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD, DETROIT, MI 48202(313) 916-9106(313) 916-1249 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sabala R. Mandava M.d. NPPES

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

SABALA R. MANDAVA M.D. (NPI 1669540308) is an individual diagnostic radiology provider in Detroit, Michigan, licensed in Michigan (4301070385) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1669540308
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameSABALA R. MANDAVACredential: M.D.
Location AddressHENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARDDetroit, MI 48202
Mailing AddressHenry Ford Health System, 2799 West Grand BoulevardDetroit, MI 48202 · (313) 916-9106
Phone(313) 916-9106
Fax(313) 916-1249
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateDecember 1, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1669540308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in MI · 4301070385
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
HENRY FORD HEALTH SYSTEM, Detroit, MI 48202
Open in Google Maps ↗

Other Identifiers 3

OtherSM070385Commercial-commercial Number
OtherSM070385Champus-champus
Medicare UPINH84910

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sabala R. Mandava M.d. 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 ID7618004300
PECOS Enrollment IDI20100429000369
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sabala Mandava reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Henry Ford Health System
Same address
Plastic Surgery
2799 W GRAND BLVD
Detroit, MI 48202
  • Reassigned Medicare billing, Michigan enrollment
  • 1,886 clinicians in this Medicare group
NPI 1528142858 (313) 916-2600
Henry Ford Macomb Hospital Corporation
14 mi
Family Medicine
15717 15 MILE RD
Clinton Twp, MI 48035
  • Reassigned Medicare billing, Michigan enrollment
  • 556 clinicians in this Medicare group
NPI 1134265986 (586) 285-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.

Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
116 services116 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
98 services98 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
98 services98 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
97 services97 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
26 services26 patients
Diagnostic mammography of 1 breast 77065
Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.
20 services19 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230047
Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County
Emergency services Birthing friendly

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Henry Ford Health West Bloomfield Hospital

Acute Care Hospitals · West Bloomfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230302
Location6777 West Maple RoadWest Bloomfield, MI 48322 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48202 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

GREGORY L. HAYS M.D.
Emergency Medicine
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD
DETROIT, MI 48202
Wayne County (313) 916-2436
RAJINDER P. SHARMA M.D.
Radiology (Diagnostic Radiology)
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD
DETROIT, MI 48202
Wayne County (313) 916-2436
MILAN V. PANTELIC M.D.
Radiology (Diagnostic Radiology)
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD
DETROIT, MI 48202
Wayne County (313) 916-2436
MEHSATI HERAWI M.D., PH.D.
Pathology (Anatomic Pathology & Clinical Pathology)
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD
DETROIT, MI 48202
Wayne County (313) 916-2436
AAMIR SIDDIQUI M.D.
Plastic Surgery
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD
DETROIT, MI 48202
Wayne County (313) 916-2436
RAY H. LITTLETON M.D.
Urology
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD
DETROIT, MI 48202
Wayne County (313) 916-2436
ARNEL V. CLARIN M.D.
Family Medicine
HENRY FORD HEALTH SYSTEM, 1151 TAYLOR
DETROIT, MI 48202
Wayne County (313) 823-9800
ELIZABETH J. ANGUS M.D.
Psychiatry & Neurology (Neurology)
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD
DETROIT, MI 48202
Wayne County (313) 916-2436

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 Sabala Mandava's NPI number?

The NPI number for Sabala Mandava is 1669540308. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Sabala Mandava located?

Sabala Mandava practices at Henry Ford Health System 2799 West Grand Boulevard, Detroit, MI 48202. The listed phone number is (313) 916-9106.

What is Sabala Mandava's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Sabala Mandava enrolled in Medicare?

Yes. Sabala Mandava 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.

Which organizations bill Medicare for Sabala Mandava's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sabala Mandava reassigns Medicare benefits to 2 organizations: Henry Ford Health System (Detroit, MI) and Henry Ford Macomb Hospital Corporation (Clinton Twp, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sabala Mandava's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sabala Mandava accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Sabala Mandava as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sabala Mandava affiliated with any hospitals?

According to CMS data, Sabala Mandava is affiliated with Henry Ford Macomb Hospital, Henry Ford Health Hospital and Henry Ford Health West Bloomfield Hospital.

When was this NPI record last updated?

The NPPES record for Sabala Mandava was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.