DR. ALICIA MANGRAM (MD) – Surgical Critical Care Physician, NPI 1972575504
Surgical Critical Care Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
771 GENERAL SURGERY in AZ
Provider Addresses for DR. ALICIA MANGRAM (MD)
16601 N 40TH ST STE 204
PHOENIX, AZ 850323356
Phone: (602) 633-3721
Fax: (602) 595-1127
Type: Location
North 40th Street, Phoenix, Maricopa County, Arizona, 85050-4206, United States
PHOENIX, AZ 850323354
Phone: (602) 633-3721
Fax: (602) 595-1127
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $3,136.
Total Amount is formed as General ($3,136) + Research ($0) + Ownership ($0) = $3,136.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($2,249).
Total Amount
$3,136
General + Research + Ownership
Payments
30
Total payment records
General Amount
$3,136
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $2,249 |
| CSL Behring | $390 |
| Teleflex LLC | $141 |
| ACUMED LLC | $140 |
| Kerecis Limited | $101 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-03-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120309000250 | I | General Surgery | AZ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 17 | 13 | $0 |
| 99291 | Critical care, first 30-74 minutes | 13 | 12 | $0 |
Insurance plans in this area (ZIP 85032)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| General Surgery | NJ | |
| Nurse Practitioner | TX | |
| - | AZ | |
| Critical Care (Intensivists), General Surgery | MA | |
| Critical Care (Intensivists), General Surgery | CA | |
| Critical Care (Intensivists), General Surgery | AZ | |
| General Surgery | AZ | |
| Nurse Practitioner | AZ | |
| Critical Care (Intensivists), General Surgery | AZ |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.