LEILANI VICENTE MANGLICMOT MD
NPI 1679216089
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Q: What is Leilani Manglicmot's NPI number?

The NPI number for Leilani Manglicmot is 1679216089. It was assigned to this individual provider in the NPPES registry on April 14, 2022.

Q: What is Leilani Manglicmot's specialty?

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

Active since April 14, 2022PECOS Enrolled

705 RILEY HOSPITAL DR., RI-5837, INDIANAPOLIS, IN 46202(317) 944-4034 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Leilani Vicente Manglicmot Md NPPES

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

LEILANI VICENTE MANGLICMOT MD (NPI 1679216089) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679216089

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameLEILANI VICENTE MANGLICMOTCredential: MD

Location Address705 RILEY HOSPITAL DR., RI-5837Indianapolis, IN 46202

Mailing Address705 Riley Hospital Dr., Ri-5837Indianapolis, IN 46202 · (317) 944-4034

Phone(317) 944-4034

Sole ProprietorNo

Enumeration DateApril 14, 2022

NPPES CertifiedApril 14, 2022

✔ NPI 1679216089 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.

705 RILEY HOSPITAL DR., RI-5837, Indianapolis, IN 46202

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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)

Leilani Vicente Manglicmot 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.

Other Providers at the Same Location NPPES 8

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

ISAIAH CHARLES INGRAM

Student in an Organized Health Care Education/Training Program