Vivek Mangla (NPI# 1568579233, PAC ID# 7517931330) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1568579233 |
| PAC ID by PECOS | 7517931330 |
| Professional Enrollment ID | I20061229000207 |
| Full Name | Vivek Mangla |
| Organization Legal Name | VIVEK MANGLA, MD PC |
| Address |
1105 W Frank St Suite 110 Lufkin TX 75904-0004 |
| Phone Number | 9366390988 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1990 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 2668558305 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450484 | WOODLAND HEIGHTS MEDICAL CENTER |
| 450211 | CHI ST LUKES HEALTH MEMORIAL LUFKIN |
| 450508 | MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1105 W Frank St, Suite 110, Lufkin, TX 75904-0004 | 9366390988 | VIVEK MANGLA, MD PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 96% |
| Organization Legal Name | VIVEK MANGLA, MD PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Subramanya Gajaraju Venkata | Interventional Cardiology | Vivek Mangla, Md PC | 710 Gaslight Blvd, Suite A, Lufkin, TX 75904-3187 |
| Street Address |
1105 W FRANK ST SUITE 110 |
| City | LUFKIN |
| State | TX |
| Zip | 75904-0004 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Denise F Fowler | Clinical Social Worker | 132 Sandalwood St, Lufkin, TX 75904-0449 | |
| Juan A Hernandez | Internal Medicine | 232 N John Redditt Dr, Suite B, Lufkin, TX 75904-2620 | |
| Debra W Bankston | Speech Language Pathologist | Professional Speech and Language Services, Pllc | 360 N John Redditt Dr, Lufkin, TX 75904-2622 |
| James E Saxton | General Practice | 300 N John Redditt Dr, Suite 7, Lufkin, TX 75904-2634 | |
| Frankie J Clark | Clinical Psychologist | Clark Psychological and Consultation PC | 501 Mantooth Ave, Lufkin, TX 75904-3014 |
| Natalia S Luraguiz | Family Medicine | Baylor St Lukes Medical Group | 1605 W Frank Ave, Lufkin, TX 75904-3103 |
| Vinod R Sohini | Physical Therapy | 402 S John Redditt Dr, Lufkin, TX 75904-3108 | |
| Matthew D Daugherty | Podiatry | East Texas Foot Associates | 200 S John Redditt Dr, Lufkin, TX 75904-3112 |
| Eddy G Corse | Podiatry | East Texas Foot Associates | 200 S John Redditt Dr, Lufkin, TX 75904-3112 |
| Jason C Reel | Podiatry | East Texas Foot Associates | 200 S John Redditt Dr, Lufkin, TX 75904-3112 |
| Find all physicians in zip 75904 | |||
| City | LUFKIN |
| Zip Code | 75904 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | LUFKIN + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Vivek Mangla.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.