MICHAEL ROSS MANGUM
NPI 1891112108
Pediatrics - Pediatric Hematology-Oncology in Phoenix, AZ

Q: What is Michael Mangum's NPI number?

The NPI number for Michael Mangum is 1891112108. It was assigned to this individual provider in the NPPES registry on March 25, 2014.

Q: What is Michael Mangum's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Q: When was this NPI record last updated?

The NPPES record for Michael Mangum was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since March 25, 2014PECOS EnrolledAccepts Medicare Assignment

1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-1000 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2024, Oct 13, 2020, Sep 8, 2020 (3 updates tracked since 2020).

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About Michael Ross Mangum NPPES

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

MICHAEL ROSS MANGUM (NPI 1891112108) is an individual pediatric hematology-oncology provider in Phoenix, Arizona, licensed in Arizona (61621) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (2014).

NPPES Registry Identity

NPI1891112108

Entity TypeIndividualMale

Primary Taxonomy2080P0207X

Provider Legal NameMICHAEL ROSS MANGUM

Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710

Mailing Address2108 E Thomas Rd Ste 130Phoenix, AZ 85016-0008 · (602) 933-3124

Phone(602) 933-1000

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 2014

Enumeration DateMarch 25, 2014

Last NPPES UpdateSeptember 10, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2024

✔ NPI 1891112108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

License✔ Licensed in AZ · 61621

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

Also ListedPediatricsTaxonomy 208000000X · License 57.000000 (OH)

Also ListedGeneral PracticeTaxonomy 208D00000X · License 61621 (AZ)

1919 E THOMAS RD, Phoenix, AZ 85016

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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 and accepts Medicare assignment

Michael Ross Mangum is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012218647

PECOS Enrollment IDI20200911001347

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.

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Hospitalist