DR. STACI A MANDROLA MD
NPI 1912129552
Internal Medicine - Hospice and Palliative Medicine in Louisville, KY

Q: What is Staci Mandrola's NPI number?

The NPI number for Staci Mandrola is 1912129552. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Q: What is Staci Mandrola's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Q: When was this NPI record last updated?

The NPPES record for Staci Mandrola was last updated on January 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since May 03, 2007

7504 WESTPORT RD, LOUISVILLE, KY 40222(502) 693-2681(502) 456-9738 Get Directions Write a Review

NPPES record last updated: January 11, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Staci A Mandrola Md NPPES

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

DR. STACI A MANDROLA MD (NPI 1912129552) is an individual hospice and palliative medicine provider in Louisville, Kentucky, licensed in Kentucky (41139) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1912129552

Entity TypeIndividualFemale

Primary Taxonomy207RH0002X

Provider Legal NameDR. STACI A MANDROLACredential: MD

Location Address7504 WESTPORT RDLouisville, KY 40222-4108

Mailing Address2500 Meadow RdLouisville, KY 40205-2220 · (502) 456-9738

Phone(502) 693-2681

Fax(502) 456-9738

Sole ProprietorNo

Enumeration DateMay 3, 2007

Last NPPES UpdateJanuary 11, 2013

✔ NPI 1912129552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RH0002X

License✔ Licensed in KY · 41139

Definition

An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

7504 WESTPORT RD, Louisville, KY 40222

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Other Identifiers 7

Medicare PINP400035002KY

Other3756448000KY · Passport Advantage

Other000000642419KY · Anthem

Medicare PIN01163001KY

Other50026942KY · Passport

Medicare PINP00783342KY

Medicaid7100094260KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Other Providers at the Same Location NPPES 11

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

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