Rakesh Mandal (NPI# 1629336524, PAC ID# 8224324157) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1629336524 |
| PAC ID by PECOS | 8224324157 |
| Professional Enrollment ID | I20180724001991 |
| Full Name | Rakesh Mandal |
| Organization Legal Name | PATHOLOGY ASSOCIATES OF CENTRAL ILLINOIS LTD |
| Address |
701 N 1st St Springfield IL 62781-0001 |
| Phone Number | 2177883000 |
| Gender | M |
| Graduation Year | 2002 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 6103813449 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140148 | MEMORIAL MEDICAL CENTER |
| 140058 | PASSAVANT AREA HOSPITAL |
| 140135 | DECATUR MEMORIAL HOSPITAL |
| 140059 | JERSEY COMMUNITY HOSPITAL |
| 141322 | ABRAHAM LINCOLN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 701 N 1st St, Springfield, IL 62781-0001 | 2177883000 | PATHOLOGY ASSOCIATES OF CENTRAL ILLINOIS LTD |
| Organization Legal Name | PATHOLOGY ASSOCIATES OF CENTRAL ILLINOIS LTD |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Wang | Pathology | Pathology Associates of Central Illinois Ltd | 2300 N Edward St, Decatur, IL 62526-4163 |
| Michael J Beckmann | Pathology | Pathology Associates of Central Illinois Ltd | 800 N Rutledge St, Springfield, IL 62781-0002 |
| Jeff F Wang | Pathology | Pathology Associates of Central Illinois Ltd | 701 N 1st St, Springfield, IL 62781-0001 |
| Jason W Barnes | Pathology | Pathology Associates of Central Illinois Ltd | 2300 N Edward St, Decatur, IL 62526-4163 |
| Junaid Baqai | Pathology | Pathology Associates of Central Illinois Ltd | 2300 N Edward St, Decatur, IL 62526-4163 |
| Elena Samoilova | Pathology | Pathology Associates of Central Illinois Ltd | 2300 N Edward St, Decatur, IL 62526-4163 |
| Nassim Banisaeed | Pathology | Pathology Associates of Central Illinois Ltd | 2300 N Edward St, Decatur, IL 62526-4163 |
| Mark C Clarke | Pathology | Pathology Associates of Central Illinois Ltd | 2300 N Edward St, Decatur, IL 62526-4163 |
| Sheng Chen | Pathology | Pathology Associates of Central Illinois Ltd | 701 N 1st St, Springfield, IL 62781-0001 |
| Zhenqiang Gao | Pathology | Pathology Associates of Central Illinois Ltd | 201 E Pleasant St, Taylorville, IL 62568-1562 |
| Street Address |
701 N 1ST ST |
| City | SPRINGFIELD |
| State | IL |
| Zip | 62781-0001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason A Grauer | Nurse Practitioner | Midwest Emergency Department Specialists Ltd | 701 N 1st St, Springfield, IL 62781-3757 |
| Carol A Gorden | Certified Registered Nurse Anesthetist (crna) | Memorial Medical Center | 701 N 1st St, Springfield, IL 62781-0001 |
| Ann R Larson | Certified Registered Nurse Anesthetist (crna) | Memorial Medical Center | 701 N 1st St, Springfield, IL 62781-0001 |
| Kelsey A Wallace | Certified Registered Nurse Anesthetist (crna) | Memorial Medical Center | 701 N 1st St, Springfield, IL 62781-0001 |
| Christopher Inabnit | Emergency Medicine | Midwest Emergency Department Specialists Ltd | 701 N 1st St, Springfield, IL 62781-3757 |
| Heidi L Phillips | Certified Registered Nurse Anesthetist (crna) | Memorial Medical Center | 701 N 1st St, Springfield, IL 62781-0001 |
| Jeff F Wang | Pathology | Pathology Associates of Central Illinois Ltd | 701 N 1st St, Springfield, IL 62781-0001 |
| Christopher Matthew Bradbury | Radiation Oncology | University Radiologists Sc | 701 N 1st St, Springfield, IL 62781-0001 |
| Santhi B Arikati | Internal Medicine | Springfield Clinic LLP | 701 N 1st St, D116, Springfield, IL 62702-3757 |
| Sharon C Smith | Emergency Medicine | Midwest Emergency Department Specialists Ltd | 701 N 1st St, Springfield, IL 62781-3757 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert W Cox | Certified Registered Nurse Anesthetist (crna) | Memorial Medical Center | 701 N 1st St, Springfield, IL 62781-0001 |
| Amber H Smith | Certified Registered Nurse Anesthetist (crna) | Memorial Medical Center | 701 N 1st St, Springfield, IL 62781-0001 |
| Elise Berard Arnold | Certified Registered Nurse Anesthetist (crna) | Memorial Medical Center | 701 N 1st St, Springfield, IL 62781-0001 |
| William K Janes | Certified Registered Nurse Anesthetist (crna) | Memorial Medical Center | 701 N 1st St, Springfield, IL 62781-0001 |
| Emily A Jones Robson | Certified Registered Nurse Anesthetist (crna) | Memorial Medical Center | 701 N 1st St, Springfield, IL 62781-0001 |
| Jayne E Fiaush | Certified Registered Nurse Anesthetist (crna) | Memorial Medical Center | 701 N 1st St, Springfield, IL 62781-0001 |
| Sravanthi S Pallapothu | Physical Therapy | Memorial Medical Center | 701 N 1st St, Springfield, IL 62781-0001 |
| Jean M Jennings | Certified Registered Nurse Anesthetist (crna) | Memorial Medical Center | 701 N 1st St, Springfield, IL 62781-0001 |
| Joshua A Baumberger | Certified Registered Nurse Anesthetist (crna) | Memorial Medical Center | 701 N 1st St, Springfield, IL 62781-0001 |
| James Matthew Perkins | Certified Registered Nurse Anesthetist (crna) | Memorial Medical Center | 701 N 1st St, Springfield, IL 62781-0001 |
| Find all physicians in zip 62781 | |||
| City | SPRINGFIELD |
| Zip Code | 62781 |
| Specialty | PATHOLOGY |
| City + Specialty | SPRINGFIELD + PATHOLOGY |
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| 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.