DR. MAIKEL MANKARIOUS (M.D./M.B.A.) – Diagnostic Radiology Physician, NPI 1629238100
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,793 DIAGNOSTIC RADIOLOGY in CA
Provider Addresses for DR. MAIKEL MANKARIOUS (M.D./M.B.A.)
56 IFFLEY RD
JAMAICA PLAIN, MA 021302307
Phone: (310) 266-3547
Type: Mailing
2428 SANTA MONICA BLVD
SANTA MONICA, CA 904042045
Phone: (310) 315-1000
Type: Location
88 E Newton St
Boston, MA 021182308
Phone: (617) 638-6610
Type: Location
88 E Newton St, East Newton Street, South End, Boston, Suffolk County, Massachusetts, 02118, United States
BOSTON, MA 021182308
Phone: (617) 638-6610
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $30.
Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.
Last reported payment date: 2023-08-25 • Largest payer in this snapshot: HeartFlow, Inc. ($30).
Total Amount
$30
General + Research + Ownership
Payments
1
Total payment records
General Amount
$30
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| HeartFlow, Inc. | $30 |
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: 2012-07-26
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 |
|---|---|---|---|---|
| I20120726000725 | I | Diagnostic Radiology | CA | 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 |
|---|---|---|---|---|
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 58,061 | 330 | $0 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 11,845 | 135 | $0 |
| A9595 | Piflufolastat f-18, diagnostic, 1 millicurie | 900 | 98 | $0 |
| 72197 | Mri scan of pelvis before and after contrast | 258 | 257 | $0 |
| 76377 | 3d radiographic procedure with computerized image postprocessing | 243 | 242 | $0 |
Insurance plans in this area (ZIP 02130)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | MA | 71250 | CT scan chest | 174 | 167 |
| DIAGNOSTIC RADIOLOGY | MA | 73562 | X-ray of knee, 3 views | 48 | 40 |
| DIAGNOSTIC RADIOLOGY | MA | 73630 | X-ray of foot, minimum of 3 views | 45 | 37 |
| DIAGNOSTIC RADIOLOGY | MA | 76830 | Ultrasound pelvis through vagina | 25 | 25 |
| DIAGNOSTIC RADIOLOGY | MA | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 14 | 14 |
| DIAGNOSTIC RADIOLOGY | MA | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 18 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | CA | |
| - | CA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | CA |
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