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RONNIE MANDAL DO, SC
NPI 1790233609
Internal Medicine in Chicago, IL

Active since September 20, 2016
2740 W FOSTER AVE STE 101, CHICAGO, IL 60625(773) 545-9500 Get Directions Write a Review

NPPES record last updated: August 17, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 17, 2021, Sep 20, 2016 (2 updates tracked since 2016).

About Ronnie Mandal Do, Sc NPPES

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

RONNIE MANDAL DO, SC (NPI 1790233609) is a healthcare organization registered as an internal medicine in Chicago, Illinois and active in the NPI registry since September 2016. The organization lists Ronnie Ranjan Mandal, President, as its authorized official.

NPPES Registry Identity

NPI1790233609
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameRONNIE MANDAL DO, SC
Location Address2740 W FOSTER AVE STE 101Chicago, IL 60625-3547
Mailing Address6634 N Trumbull AveLincolnwood, IL 60712-3738 · (847) 757-5880
Phone(773) 545-9500
Organization SubpartNo
Authorized OfficialRonnie Ranjan MandalPresident · (847) 757-5880
Enumeration DateSeptember 20, 2016
Last NPPES UpdateAugust 17, 20212 updates tracked since enumeration
NPPES CertifiedAugust 17, 2021
✔ NPI 1790233609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License 036119779 (IL)
2740 W FOSTER AVE STE 101, Chicago, IL 60625
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ronnie Mandal Do, Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ronnie Mandal Do, Sc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ronnie Mandal, D.O,MBA,MS,MT(ASCP)
Internal Medicine
NPI 1104002872
2740 W FOSTER AVE STE 101
Chicago, IL 60625
(773) 545-9500
✔ PECOS✔ Accepts MedicareSame address

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

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 Ronnie Mandal Do, Sc's NPI number?

The NPI number for Ronnie Mandal Do, Sc is 1790233609. It was assigned to this organization in the NPPES registry on September 20, 2016.

Where is Ronnie Mandal Do, Sc located?

Ronnie Mandal Do, Sc is located at 2740 W Foster Ave Ste 101, Chicago, IL 60625. The listed phone number is (773) 545-9500.

What is Ronnie Mandal Do, Sc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ronnie Mandal Do, Sc enrolled in Medicare?

Yes. Ronnie Mandal Do, Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ronnie Mandal Do, Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Ronnie Mandal Do, Sc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ronnie Mandal Do, Sc was last updated on August 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.