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Michael J. Mastrangelo PC

NPI 1053594283ActiveOrganization· Specialist· Bend, OR

Specialist in Bend, Oregon, registered in NPPES in December 2007. The authorized official on file is Michael J. Mastrangelo, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1053594283
StatusActive
Entity typeOrganization
NPI issuedDec 11, 2007
Last updated in NPPESMar 3, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000XMD21444OR

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (OR)

Medicare sources and data years

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