DR. ALICIA MANGRAM MD
NPI 1972575504
Surgery - Surgical Critical Care in Phoenix, AZ
About Dr. Alicia Mangram Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ALICIA MANGRAM MD (NPI 1972575504) is an individual surgical critical care provider in Phoenix, Arizona, licensed in Arizona (45385) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Alicia Mangram Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Alicia Mangram reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Phoenix, AZ 85032
- Reassigned Medicare billing, Arizona enrollment
- 32 clinicians in this Medicare group
Scottsdale, AZ 85255
- Reassigned Medicare billing, Arizona enrollment
- 267 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.
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.
PHOENIX, AZ 85032
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 Alicia Mangram's NPI number?
The NPI number for Alicia Mangram is 1972575504. It was assigned to this individual provider in the NPPES registry on February 7, 2006.
Where is Alicia Mangram located?
Alicia Mangram practices at 16601 N 40th St Ste 204, Phoenix, AZ 85032. The listed phone number is (602) 633-3721.
What is Alicia Mangram's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.
Is Alicia Mangram enrolled in Medicare?
Yes. Alicia Mangram is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Alicia Mangram's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alicia Mangram reassigns Medicare benefits to 2 organizations: Acute Care Surgical Specialists, LLC (Phoenix, AZ) and Honorhealth (Scottsdale, AZ). Each 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 Alicia Mangram's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alicia Mangram accept?
Health plans from Antidote Health Plan of Arizona, Inc., Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. list Alicia Mangram 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 Alicia Mangram was last updated on October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Alicia Mangram, MD · NPI 1972575504
Surgical Critical Care physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since February 7, 2006.
## Identity
- **NPI:** 1972575504 (Entity type: Individual)
- **Enumerated:** February 7, 2006
- **Primary specialty:** Surgery - Surgical Critical Care · taxonomy 2086S0102X
- **State license:** 45385 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 16601 N 40TH ST STE 204, Phoenix, AZ 85032-3356
- **Phone:** (602) 633-3721 · **Fax:** (602) 595-1127
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Acute Care Surgical Specialists, LLC (NPI 1225311871, Phoenix, AZ); Honorhealth (NPI 1417152745, Scottsdale, AZ) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 21, 2021
- **Other identifiers:** Medicaid 144729405 (TX); Medicaid 665273 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1972575504) · Data from the CMS NPPES public registry.