DR. KELLY ANN MANDAGERE (M.D.) – Endocrinology, Diabetes & Metabolism Physician, NPI 1255492104

DR. KELLY ANN MANDAGERE (M.D.) is a healthcare provider. based in Louisville, Colorado. specializing in Endocrinology, Diabetes & Metabolism Physician. They hold the professional credentials M.D.. They hold a License No. 45001 (CO). The NPI Number for DR. KELLY ANN MANDAGERE (M.D.) is 1255492104

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELLY ANN MANDAGERE (M.D.)
NPI
1255492104
Phone
(303) 586-5200
Address
892 W SOUTH BOULDER RD
Enumeration Date
13 December 2006
Last Update Date
20 July 2010

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
3034403000
Graduation Year
1993 (33 years ago)
PAC ID
8426089392
Group Practice PAC ID
4183536204
Professional Enrollment ID
I20071003000453
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. KELLY ANN MANDAGERE (M.D.)

  • 892, West South Boulder Road, Louisville, Boulder County, Colorado, 80027, United States

    LOUISVILLE, CO 800272453

    Phone: (303) 586-5200

    Fax: (303) 586-5201

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80027)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183536204View full group profile
NameSpecialtyState
General SurgeryCO
Family PracticeWA
-CO
Family PracticeCO
Pediatric Medicine, GastroenterologyCO
Internal MedicineCO
G A S T R O E N T E R O L O G YCO
-AZ
Family PracticeCO
Physician AssistantCO

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Frequently asked questions

How is DR. KELLY ANN MANDAGERE (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. KELLY ANN MANDAGERE (M.D.) with NPI 1255492104.
Does the file indicate DR. KELLY ANN MANDAGERE (M.D.) is practicing under active NPI?
Directory data currently reports DR. KELLY ANN MANDAGERE (M.D.) as active.
What is DR. KELLY ANN MANDAGERE (M.D.) best known for clinically?
Directory data describes DR. KELLY ANN MANDAGERE (M.D.) with Endocrinology, Diabetes & Metabolism Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. KELLY ANN MANDAGERE (M.D.) on a map?
Expect Louisville, Colorado as a primary anchor for DR. KELLY ANN MANDAGERE (M.D.) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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