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KRISTINA MANDALA
NPI 1700575784
Emergency Medicine in New York, NY

Active since May 04, 2023PECOS Enrolled
1901 1ST AVE FL 15, NEW YORK, NY 10029(212) 423-6271 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 18, 2026, May 4, 2023 (2 updates tracked since 2023).

About Kristina Mandala NPPES

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

KRISTINA MANDALA (NPI 1700575784) is an individual emergency medicine provider in New York, New York, licensed in New York (346291) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1700575784
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameKRISTINA MANDALA
Location Address1901 1ST AVE FL 15New York, NY 10029-7491
Mailing Address1901 1st Ave Fl 15New York, NY 10029-7491 · (212) 423-6271
Phone(212) 423-6271
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMay 4, 2023
Last NPPES UpdateAugust 18, 20262 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
✔ NPI 1700575784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 346291
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1901 1ST AVE FL 15, New York, NY 10029
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristina Mandala is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244799526
PECOS Enrollment IDI20260826005135
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 Reassignment

Medicare enrollment records show Kristina Mandala reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Exigence Medical Of Binghamton PLLC
137 mi
Emergency Medical Services
169 RIVERSIDE DR
Binghamton, NY 13905
  • Reassigned Medicare billing, New York enrollment
  • 110 clinicians in this Medicare group
NPI 1659464758 (607) 798-5231

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

JAY FREDERIC KAMMERMAN
Student in an Organized Health Care Education/Training Program
1901 1ST AVE FL 15
NEW YORK, NY 10029
New York County (212) 423-6271
NIDHA IQBAL SHAPOO
Internal Medicine
1901 1ST AVE FL 15
NEW YORK, NY 10029
New York County (212) 423-6271
YANAL AHMAD ALI AL OMARI MD
Student in an Organized Health Care Education/Training Program
1901 1ST AVE FL 15
NEW YORK, NY 10029
New York County (212) 423-6271
JARROD P SHEEHAN DO
Emergency Medicine
1901 1ST AVE FL 15
NEW YORK, NY 10029
New York County (212) 423-6271
MARY CYNTHIA DURAN MD
Student in an Organized Health Care Education/Training Program
1901 1ST AVE FL 15
NEW YORK, NY 10029
New York County (212) 423-6271
MAJD NIDAL PAK DDS
Dentist (General Practice)
1901 1ST AVE FL 15
NEW YORK, NY 10029
New York County (212) 423-6271
SAI GAUTHAM KANAGALA
Student in an Organized Health Care Education/Training Program
1901 1ST AVE FL 15
NEW YORK, NY 10029
New York County (212) 423-6271
DR. TINA GOWDA MD
Student in an Organized Health Care Education/Training Program
1901 1ST AVE FL 15
NEW YORK, NY 10029
New York County (212) 423-6271

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 Kristina Mandala's NPI number?

The NPI number for Kristina Mandala is 1700575784. It was assigned to this individual provider in the NPPES registry on May 4, 2023.

Where is Kristina Mandala located?

Kristina Mandala practices at 1901 1st Ave Fl 15, New York, NY 10029. The listed phone number is (212) 423-6271.

What is Kristina Mandala's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kristina Mandala enrolled in Medicare?

Yes. Kristina Mandala is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kristina Mandala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Mandala reassigns Medicare benefits to Exigence Medical Of Binghamton PLLC (Binghamton, NY). The 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 Kristina Mandala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kristina Mandala was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.