DR. MARK ALON MANDELBAUM (MD) – Neurology Physician, NPI 1629033428

DR. MARK ALON MANDELBAUM (MD) is a healthcare provider. based in Saint joseph, Missouri. specializing in HOSPITALIST, NEUROLOGY, PSYCHIATRY, NEUROLOGY, PSYCHIATRY. They hold the professional credentials MD. They hold a License No. J9748 (TX). The NPI Number for DR. MARK ALON MANDELBAUM (MD) is 1629033428

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK ALON MANDELBAUM (MD)
NPI
1629033428
Phone
(816) 271-8182
Address
105 FAR WEST DR STE 201
Enumeration Date
18 April 2006
Last Update Date
4 July 2024

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
9103757344
Graduation Year
1979 (47 years ago)
PAC ID
1951402312
Group Practice PAC ID
7315338324
Professional Enrollment ID
I20070730000260
Address ID
NC283748734PI295XXBLVD300

Contacts

Secure Messaging
rdoctor@hannibalclinic.directbygreenway.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness85
Years active:20State licenses:3Other namesUpdated within 12 months

1,193 HOSPITALIST in MO

Provider Addresses for DR. MARK ALON MANDELBAUM (MD)

  • 105 FAR WEST DR STE 201

    SAINT JOSEPH, MO 64506

    Phone: (816) 271-8182

    Fax: (816) 271-0818

    Type: Location

  • 105 Far West Dr Ste 201

    Saint Joseph, MO 64506

    Phone: (816) 271-8182

    Fax: (816) 271-0818

    Type: Location

  • 4400 BROADWAY BLVD

    KANSAS CITY, MO 641113498

    Phone:

    Type: Mailing

  • 4400 BROADWAY

    STE. 520

    KANSAS CITY, MO 641113498

    Phone: (816) 531-4080

    Fax: (816) 531-0281

    Type: Location

  • 100 MEDICAL DR

    HANNIBAL, MO 634016877

    Phone: (573) 221-5250

    Fax: (573) 231-3717

    Type: Mailing

  • 105, Far West Drive, Saint Joseph, Buchanan County, Missouri, 64506, United States

    SAINT JOSEPH, MO 645063511

    Phone: (816) 271-8182

    Fax: (816) 271-0818

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 67 Open Payments records for all available years, with a total value of $1,890.

Total Amount is formed as General ($1,890) + Research ($0) + Ownership ($0) = $1,890.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Alexion Pharmaceuticals, Inc. ($410).

Total Amount

$1,890

General + Research + Ownership

Payments

67

Total payment records

General Amount

$1,890

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2014-11-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20070730000260IHospitalistNCTBD
I20141114001360INeurologyMOTBD

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
99203New patient office or other outpatient visit, 30-44 minutes7070$0
99213Established patient office or other outpatient visit, 20-29 minutes7058$0
99204New patient office or other outpatient visit, 45-59 minutes2626$0
99214Established patient office or other outpatient visit, 30-39 minutes1817$0
View full utilization report →

Insurance plans in this area (ZIP 64506)

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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: 7315338324View full group profile
NameSpecialtyState
Nurse PractitionerNC
N E U R O L O G YNC
Nurse PractitionerNC
Nurse PractitionerNC
Neurology, Sleep MedicineNC
Physician AssistantNC
N E U R O L O G YNC
N E U R O L O G YNC
Physician AssistantNC

Reviews

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Frequently asked questions

What is the standard ID for DR. MARK ALON MANDELBAUM (MD) in the U.S.?
In the U.S., DR. MARK ALON MANDELBAUM (MD) is identified by NPI 1629033428.
Is DR. MARK ALON MANDELBAUM (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. MARK ALON MANDELBAUM (MD) as active.
What services align with DR. MARK ALON MANDELBAUM (MD)'s listing?
DR. MARK ALON MANDELBAUM (MD)'s public classification highlights Neurology Physician. Clinical services aligned with this taxonomy classification.
Is DR. MARK ALON MANDELBAUM (MD) tied to Saint Joseph, Missouri?
If you are local to Saint Joseph, Missouri, DR. MARK ALON MANDELBAUM (MD) may be relevant to your search.
Can I export DR. MARK ALON MANDELBAUM (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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