MR. RICARDO ANTONIO MANGIONE (PA) – Physician Assistant, NPI 1336122084

MR. RICARDO ANTONIO MANGIONE (PA) is a healthcare provider. based in South miami, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA9102135 (FL). The NPI Number for MR. RICARDO ANTONIO MANGIONE (PA) is 1336122084

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
MR. RICARDO ANTONIO MANGIONE (PA)
NPI
1336122084
Phone
(786) 456-4107
Address
PO BOX 430885
Enumeration Date
28 November 2005
Last Update Date
1 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3526933378
Graduation Year
2002 (24 years ago)
PAC ID
1355393067
Group Practice PAC ID
1759290992
Professional Enrollment ID
I20050210000512
Address ID
FL344203759BE5036XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for MR. RICARDO ANTONIO MANGIONE (PA)

  • PO BOX 430885

    SOUTH MIAMI, FL 332430885

    Phone: (786) 456-4107

    Type: Mailing

  • Sunset Drive, South Miami, Miami-Dade County, Florida, United States

    SUITE 403

    SOUTH MIAMI, FL 331434828

    Phone: (305) 740-8036

    Fax: (305) 740-8137

    Type: Location

  • 10314 SW 128TH CT

    MIAMI, FL 331862321

    Phone: (786) 413-4051

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Biogen, Inc. ($18).

Total Amount

$34

General + Research + Ownership

Payments

2

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2005-02-10

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
I20050210000512IPhysician AssistantFLTBD

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.

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

Insurance plans in this area (ZIP 33243)

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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: 1759290992View full group profile
NameSpecialtyState
Orthopedic SurgeryFL
Internal MedicineFL
Family PracticeFL
Physician AssistantVA
Physician AssistantFL
Family PracticeFL
Internal MedicineFL
Family PracticeFL
Physician AssistantFL
N E U R O S U R G E R YFL

Reviews

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Frequently asked questions

What unique ID ties claims to MR. RICARDO ANTONIO MANGIONE (PA)?
NPI 1336122084 is assigned to MR. RICARDO ANTONIO MANGIONE (PA) under the national enumeration system.
Does this profile mean MR. RICARDO ANTONIO MANGIONE (PA) is currently active?
Yes — MR. RICARDO ANTONIO MANGIONE (PA) appears active in the national provider directory.
Can you summarize MR. RICARDO ANTONIO MANGIONE (PA)'s specialty in plain language?
Clinically, the directory lists MR. RICARDO ANTONIO MANGIONE (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for MR. RICARDO ANTONIO MANGIONE (PA)?
We surface South Miami, Florida for MR. RICARDO ANTONIO MANGIONE (PA) based on available NPPES addresses.
How can I contact MR. RICARDO ANTONIO MANGIONE (PA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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