REX L MAHNENSMITH (M.D.) – Internal Medicine Physician, NPI 1760466528

REX L MAHNENSMITH (M.D.) is a healthcare provider. based in Waterbury, Connecticut. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 021731 (CT). The NPI Number for REX L MAHNENSMITH (M.D.) is 1760466528

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
REX L MAHNENSMITH (M.D.)
NPI
1760466528
Phone
(203) 756-8021
Address
80 PHOENIX AVE
Enumeration Date
5 December 2005
Last Update Date
22 October 2015

Doctor Profile

Medical School Name
YALE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2035293271
Graduation Year
1977 (49 years ago)
PAC ID
8123142049
Group Practice PAC ID
9739663105
Professional Enrollment ID
I20100830000814
Address ID
CT064773506OR521XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,448 INTERNAL MEDICINE in CT

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Provider Addresses for REX L MAHNENSMITH (M.D.)

  • 80, Phoenix Avenue, Exchange Place, Waterbury, New Haven County, Connecticut, 06702, United States

    WATERBURY, CT 067021418

    Phone: (203) 756-8021

    Fax: (203) 596-9038

    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)

CMS reports 36 Open Payments records for all available years, with a total value of $673.

Total Amount is formed as General ($673) + Research ($0) + Ownership ($0) = $673.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($336).

Total Amount

$673

General + Research + Ownership

Payments

36

Total payment records

General Amount

$673

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2010-08-30

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100830000814IInternal MedicineCTTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes294239$0
0241URespiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected122114$0
99203New patient office or other outpatient visit, 30-44 minutes117117$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza101101$0
99214Established patient office or other outpatient visit, 30-39 minutes7068$0
View full utilization report →

Insurance plans in this area (ZIP 06702)

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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: 9739663105View full group profile
NameSpecialtyState
Physician AssistantCT
Nurse PractitionerCT
Nurse PractitionerCT
Physician AssistantCT
Nurse PractitionerCT
Nurse PractitionerCT
Nurse PractitionerCT
Nurse PractitionerCT
Nurse PractitionerCT
Physician AssistantCT

Reviews

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Frequently asked questions

Is there an official ID for REX L MAHNENSMITH (M.D.) in U.S. healthcare records?
The official identifier for REX L MAHNENSMITH (M.D.) is NPI 1760466528.
Is there an active status for REX L MAHNENSMITH (M.D.)?
For scheduling context, REX L MAHNENSMITH (M.D.) is shown as active in the registry.
What area of care is associated with REX L MAHNENSMITH (M.D.)?
REX L MAHNENSMITH (M.D.)'s record emphasizes Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is REX L MAHNENSMITH (M.D.) associated with Waterbury?
Public fields place REX L MAHNENSMITH (M.D.) around Waterbury, Connecticut. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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