DR. MAX MANDELBAUM MD
NPI 1972066397
Plastic Surgery in Louisville, KY
About Dr. Max Mandelbaum Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MAX MANDELBAUM MD (NPI 1972066397) is an individual plastic surgery provider in Louisville, Kentucky, licensed in Kentucky (62108) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of George Washington University School Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Max Mandelbaum Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Max Mandelbaum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Avon, OH 44011
- Reassigned Medicare billing, Ohio enrollment
- 7,608 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Max Mandelbaum's NPI number?
The NPI number for Max Mandelbaum is 1972066397. It was assigned to this individual provider in the NPPES registry on April 11, 2019.
Where is Max Mandelbaum located?
Max Mandelbaum practices at 132 Chenoweth Ln, Louisville, KY 40207. The listed phone number is (502) 584-1109.
What is Max Mandelbaum's specialty?
The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.
Is Max Mandelbaum enrolled in Medicare?
Yes. Max Mandelbaum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Max Mandelbaum's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Max Mandelbaum reassigns Medicare benefits to The Cleveland Clinic Foundation (Avon, OH). The 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 Max Mandelbaum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Max Mandelbaum accept?
Health plans from Antidote Health Plan of Ohio, Inc. list Max Mandelbaum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Max Mandelbaum was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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.
# Dr. Max Mandelbaum, MD · NPI 1972066397
Plastic Surgery physician in Louisville, Kentucky. Individual provider, active in the CMS NPPES registry since April 11, 2019.
## Identity
- **NPI:** 1972066397 (Entity type: Individual)
- **Enumerated:** April 11, 2019
- **Primary specialty:** Plastic Surgery · taxonomy 208200000X
- **State license:** 62108 (Kentucky)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 132 CHENOWETH LN, Louisville, KY 40207-2651
- **Phone:** (502) 584-1109 · **Fax:** (502) 901-1830
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Cleveland Clinic Foundation (NPI 1184428336, Avon, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** George Washington University School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** September 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1972066397) · Data from the CMS NPPES public registry.