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DR. SEBASTIAN R. MANGIAMELE M.D.
NPI 1710944475
General Practice in Bemidji, MN

Active since April 27, 2006PECOS Enrolled
3801 BEMIDJI AVE N, STE 6, BEMIDJI, MN 56601(218) 333-5694(218) 444-4728 Get Directions Write a Review

NPPES record last updated: August 12, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Sebastian R. Mangiamele M.d. NPPES

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

DR. SEBASTIAN R. MANGIAMELE M.D. (NPI 1710944475) is an individual general practice provider in Bemidji, Minnesota, licensed in Minnesota (43323) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710944475
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. SEBASTIAN R. MANGIAMELECredential: M.D.
Location Address3801 BEMIDJI AVE N, STE 6Bemidji, MN 56601-4364
Mailing Address3801 Bemidji Ave N, Ste 6Bemidji, MN 56601-4364 · (218) 333-5694 · Fax (218) 444-4728
Phone(218) 333-5694
Fax(218) 444-4728
Sole ProprietorNo
Enumeration DateApril 27, 2006
Last NPPES UpdateAugust 12, 2010
✔ NPI 1710944475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MN · 43323
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X · License 43323 (MN)
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 43323 (MN)
3801 BEMIDJI AVE N, Bemidji, MN 56601
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Other Identifiers 3

Medicaid640127900MN
Medicare ID-Type Unspecified250000664MN
Medicare UPINF48894MN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sebastian R. Mangiamele 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.

Other Providers at the Same Location NPPES 3

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

PHYSICIANS CLINIC OF MINNESOTA
General Practice
3801 BEMIDJI AVE N, STE 6
BEMIDJI, MN 56601
Beltrami County (218) 333-5694
RURAL RADIOLOGY CONSULTANTS, LTD
Specialist
3801 BEMIDJI AVE N
BEMIDJI, MN 56601
Beltrami County (218) 333-3852
KARY ANN BROWN RN, CNP
Nurse Practitioner
3801 BEMIDJI AVE N
BEMIDJI, MN 56601
Beltrami County (218) 333-5694

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 Sebastian Mangiamele's NPI number?

The NPI number for Sebastian Mangiamele is 1710944475. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Sebastian Mangiamele located?

Sebastian Mangiamele practices at 3801 Bemidji Ave N Ste 6, Bemidji, MN 56601. The listed phone number is (218) 333-5694.

What is Sebastian Mangiamele's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Sebastian Mangiamele enrolled in Medicare?

Yes. Sebastian Mangiamele is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sebastian Mangiamele was last updated on August 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.