CHEYENNE MACKENZIE MANGOLD MD
NPI 1972166551
Pediatrics in San Antonio, TX

Active since April 18, 2019PECOS EnrolledAccepts Medicare Assignment
4502 MEDICAL DR, SAN ANTONIO, TX 78229(210) 743-0019 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 9, 2026, Oct 2, 2024, Aug 8, 2024 and 1 more (4 updates tracked since 2019).

About Cheyenne Mackenzie Mangold Md NPPES

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

CHEYENNE MACKENZIE MANGOLD MD (NPI 1972166551) is an individual pediatrics provider in San Antonio, Texas, licensed in Texas (T5620) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2019).

NPPES Registry Identity

NPI1972166551
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCHEYENNE MACKENZIE MANGOLDCredential: MD
Location Address4502 MEDICAL DRSan Antonio, TX 78229-4402
Mailing Address4502 Medical DrSan Antonio, TX 78229-4402 · (210) 358-4000 · Fax (210) 358-4775
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2019
Enumeration DateApril 18, 2019
Last NPPES UpdateApril 9, 20264 updates tracked since enumeration
NPPES CertifiedApril 9, 2026
NPI 1972166551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in TX · T5620
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Pediatric Critical Care MedicineTaxonomy 2080P0203X · License T5620 (TX)
4502 MEDICAL DR, San Antonio, TX 78229

Secondary Practice Locations 2

Location 17703 Floyd Curl Dr # Mc-7816San Antonio, TX 78229-3901 · Phone (210) 562-5324
Location 2903 W Martin St # MS 49-2San Antonio, TX 78207-0903 · Phone (201) 358-5437 · Fax (210) 358-5890

Accepted Insurance

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

Cheyenne Mackenzie Mangold 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 ID9234586728
PECOS Enrollment IDI20231106000058
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 78229 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Internal Medicine (Cardiovascular Disease)
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Student in an Organized Health Care Education/Training Program
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Student in an Organized Health Care Education/Training Program
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Physical Therapy Assistant
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Nurse Anesthetist, Certified Registered
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Nurse Anesthetist, Certified Registered
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Pharmacist
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Hospitalist
4502 MEDICAL DR
SAN ANTONIO, TX 78229

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 Cheyenne Mangold's NPI number?

The NPI number for Cheyenne Mangold is 1972166551. It was assigned to this individual provider in the NPPES registry on April 18, 2019.

Where is Cheyenne Mangold located?

Cheyenne Mangold practices at 4502 Medical Dr, San Antonio, TX 78229. The listed phone number is (210) 743-0019.

What is Cheyenne Mangold's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Cheyenne Mangold enrolled in Medicare?

Yes. Cheyenne Mangold 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.

What insurance does Cheyenne Mangold accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare and Oscar Insurance Company list Cheyenne Mangold 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 Cheyenne Mangold was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.