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TARA MANGUM D.O.
NPI 1932428315
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Phoenix, AZ

Active since May 24, 2010PECOS Enrolled
1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-0970(602) 933-4253 Get Directions Write a Review

NPPES record last updated: September 6, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 6, 2018, Aug 31, 2016 (2 updates tracked since 2016).

About Tara Mangum D.o. NPPES

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

TARA MANGUM D.O. (NPI 1932428315) is an individual neurology with special qualifications in child neurology provider in Phoenix, Arizona, licensed in Arizona (006652) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932428315
Entity TypeIndividualFemale
Primary Taxonomy2084N0402X
Provider Legal NameTARA MANGUMCredential: D.O.
Location Address1919 E THOMAS RDPhoenix, AZ 85016
Mailing Address3200 E Camelback Rd Ste 250Phoenix, AZ 85018-2327 · (602) 933-1813
Phone(602) 933-0970
Fax(602) 933-4253
Sole ProprietorNo
Enumeration DateMay 24, 2010
Last NPPES UpdateSeptember 6, 20182 updates tracked since enumeration
✔ NPI 1932428315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in AZ · 006652
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Also ListedPediatricsTaxonomy 208000000X · License 76554 (GA)
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 (PECOS)

Tara Mangum 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. TIMUR RAGHIB M.D.
Hospitalist
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-0777
MRS. MARIA T ESCOBAR CSP, RD
Dietitian, Registered
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (480) 440-2787
DR. AHMAR HUSAIN MD
Anesthesiology (Pediatric Anesthesiology)
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-4660
MRS. SOLEE R COWLEY LCSW
Social Worker (Clinical)
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-0414
PRIYA PRASHER M.D.
Pediatrics
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-1900
DR. AMIT RAJARAM D.O.
Pediatrics
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-0198
LAURA GARDNER HAMANT
Pediatrics (Pediatric Gastroenterology)
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-1000
MS. KYLE MARIE CHRISTIAN-DOLD CPNP
Nurse Practitioner (Pediatrics)
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-1900

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 Tara Mangum's NPI number?

The NPI number for Tara Mangum is 1932428315. It was assigned to this individual provider in the NPPES registry on May 24, 2010.

Where is Tara Mangum located?

Tara Mangum practices at 1919 E Thomas Rd, Phoenix, AZ 85016. The listed phone number is (602) 933-0970.

What is Tara Mangum's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Tara Mangum enrolled in Medicare?

Yes. Tara Mangum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tara Mangum was last updated on September 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.