ATUL MANGLA (MD) – Neurology Physician, NPI 1063787240

ATUL MANGLA (MD) is a healthcare provider. based in Kalamazoo, Michigan. specializing in NUCLEAR MEDICINE, VASCULAR SURGERY, NEUROLOGY. They hold the professional credentials MD. They hold a License No. 4301106416 (MI). The NPI Number for ATUL MANGLA (MD) is 1063787240

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
ATUL MANGLA (MD)
NPI
1063787240
Phone
(269) 381-7380
Address
1541 Gull Rd
Enumeration Date
20 March 2012
Last Update Date
28 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7177912620
Graduation Year
2004 (22 years ago)
PAC ID
4284956400
Group Practice PAC ID
7618960493
Professional Enrollment ID
I20171102002200
Address ID
PA171095300HA4310XRDXX305
Telehealth
Yes

Contacts

Secure Messaging
amangla59998@phsdirect.pinnaclehealth.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:14State licenses:2Other namesUpdated within 12 months

68 NUCLEAR MEDICINE in MI

Provider Addresses for ATUL MANGLA (MD)

  • 1541 Gull Rd

    suite 100

    Kalamazoo, MI 49048

    Phone: (269) 381-7380

    Type: Location

  • 409 S 2ND ST STE 2F

    HARRISBURG, PA 171041612

    Phone:

    Type: Mailing

  • 2005 TECHNOLOGY PKWY STE 400

    MECHANICSBURG, PA 170509413

    Phone: (717) 791-2520

    Fax: (717) 703-0061

    Type: Mailing

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 $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2024-05-01 • Largest payer in this snapshot: Neurelis, Inc. ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Neurelis, Inc.$13
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: 2017-11-02

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
I20171102002200INeurologyPATBD

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
95886Needle measurement of electrical activity in arm or leg muscles, complete study338179$0
95819Measurement of brain wave activity (eeg), awake and asleep169164$0
99214Established patient office or other outpatient visit, 30-39 minutes150122$0
99204New patient office or other outpatient visit, 45-59 minutes100100$0
95911Nerve conduction, 9-10 studies9393$0
View full utilization report →

Insurance plans in this area (ZIP 49048)

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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: 7618960493View full group profile
NameSpecialtyState
Nurse PractitionerPA
Family PracticePA
-PA
Nurse PractitionerPA
-PA
O B S T E T R I C S/ G Y N E C O L O G YIL
O B S T E T R I C S/ G Y N E C O L O G YPA
-TN
Hospitalist, Internal MedicinePA
Internal MedicinePA

Reviews

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Frequently asked questions

How do I look up ATUL MANGLA (MD) by NPI?
Use NPI 1063787240 when you need to reference ATUL MANGLA (MD) in forms, claims, or directories.
Is ATUL MANGLA (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is ATUL MANGLA (MD)?
The page reflects Neurology Physician for ATUL MANGLA (MD). Clinical services aligned with this taxonomy classification.
Where is ATUL MANGLA (MD)'s primary listing?
We display Kalamazoo, Michigan because that is what the record indicates for ATUL MANGLA (MD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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