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DR. TEDRICK MANGASSARIAN D.O.
NPI 1851148845
Student in an Organized Health Care Education/Training Program in New Orleans, LA

Active since May 06, 2024PECOS Enrolled
2020 GRAVIER ST, NEW ORLEANS, LA 70112(504) 568-2577 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 17, 2025, Jul 16, 2024, May 6, 2024 (3 updates tracked since 2024).

About Dr. Tedrick Mangassarian D.o. NPPES

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

DR. TEDRICK MANGASSARIAN D.O. (NPI 1851148845) is an individual student in an organized health care education/training program in New Orleans, Louisiana and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851148845
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. TEDRICK MANGASSARIANCredential: D.O.
Location Address2020 GRAVIER STNew Orleans, LA 70112-2272
Mailing Address2020 Gravier StNew Orleans, LA 70112-2272 · (818) 523-4647
Phone(504) 568-2577
Sole ProprietorNo
Enumeration DateMay 6, 2024
Last NPPES UpdateDecember 17, 20253 updates tracked since enumeration
NPPES CertifiedDecember 17, 2025
✔ NPI 1851148845 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.
2020 GRAVIER ST, New Orleans, LA 70112
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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)

Dr. Tedrick Mangassarian D.o. 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 20

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

RICHARD PAUL DICARLO MD
Internal Medicine (Infectious Disease)
2020 GRAVIER ST, 7TH FLOOR
NEW ORLEANS, LA 70112
Orleans Parish (504) 568-4006
MS. ELIZABETH ANNE CLEMENT M.D.
Emergency Medicine
2020 GRAVIER ST, 7TH FLOOR
NEW ORLEANS, LA 70112
Orleans Parish (504) 903-3594
DR. CHRISTINE W CONNOLLY M.D.
Ophthalmology
2020 GRAVIER ST, SUITE B
NEW ORLEANS, LA 70112
Orleans Parish (504) 412-1200
DR. BRANDON JAMES COLE M.D.
Emergency Medicine
2020 GRAVIER ST, 7TH FLOOR, SUITE D
NEW ORLEANS, LA 70112
Orleans Parish (504) 903-3594
DR. GELANA ZAHARAN M.D.
Student in an Organized Health Care Education/Training Program
2020 GRAVIER ST, 7TH FLOOR
NEW ORLEANS, LA 70112
Orleans Parish (504) 568-6006
MEVA BEGANOVIC
Student in an Organized Health Care Education/Training Program
2020 GRAVIER ST
NEW ORLEANS, LA 70112
Orleans Parish (504) 568-4007
DR. SHIRLEY YODZIS M.D.
Radiology (Diagnostic Radiology)
2020 GRAVIER ST, 7TH FLOOR ROOM 757
NEW ORLEANS, LA 70112
Orleans Parish (504) 568-4647
DR. SHANNON M ALWOOD M.D.
Emergency Medicine
2020 GRAVIER ST, 7TH FLOOR, STE D
NEW ORLEANS, LA 70112
Orleans Parish (504) 903-3594

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 Tedrick Mangassarian's NPI number?

The NPI number for Tedrick Mangassarian is 1851148845. It was assigned to this individual provider in the NPPES registry on May 6, 2024.

Where is Tedrick Mangassarian located?

Tedrick Mangassarian practices at 2020 Gravier St, New Orleans, LA 70112. The listed phone number is (504) 568-2577.

What is Tedrick Mangassarian's specialty?

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

Is Tedrick Mangassarian enrolled in Medicare?

Yes. Tedrick Mangassarian is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tedrick Mangassarian was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.