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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MAX MANDELBAUM MD
NPI 1972066397
Plastic Surgery in Louisville, KY

Active since April 11, 2019PECOS Enrolled
132 CHENOWETH LN, LOUISVILLE, KY 40207(502) 584-1109(502) 901-1830 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 23, 2026, Aug 7, 2025, Jun 24, 2025 and 1 more (4 updates tracked since 2019).

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

NPI1972066397
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. MAX MANDELBAUMCredential: MD
Location Address132 CHENOWETH LNLouisville, KY 40207-2651
Mailing Address132 Chenoweth LnLouisville, KY 40207-2651 · (502) 584-1109 · Fax (502) 901-1830
Phone(502) 584-1109
Fax(502) 901-1830
Sole ProprietorYes
Medical School CMSGeorge Washington University School Of MedicineGraduated 2019
Enumeration DateApril 11, 2019
Last NPPES UpdateSeptember 23, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2026
✔ NPI 1972066397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Licenses✔ Licensed in KY · 62108✔ Licensed in NY · 328018-01✔ Licensed in OH · 35.153304✔ Licensed in VA · 0101289109
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
132 CHENOWETH LN, Louisville, KY 40207
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Secondary Practice Location 1

Location 11 Gustave L Levy Pl Fl 12New York, NY 10029-6574 · Phone (212) 241-6500

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

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.

PECOS PAC ID3870823784
PECOS Enrollment IDI20250809000355
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 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.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
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

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

CATHERINE A BOLSER LMT
Massage Therapist
132 CHENOWETH LN
LOUISVILLE, KY 40207
Jefferson County (502) 893-0431

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.

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 5 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.