JAGJIT MANGAT (MD) – Family Medicine Physician, NPI 1679516918
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,141 FAMILY PRACTICE in WA
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Provider Addresses for JAGJIT MANGAT (MD)
PO BOX 17130
RENO, NV 895113103
Phone: (480) 620-7181
Type: Mailing
Tri-State Memorial Hospital, 1221, Highland Avenue, Clarkston, Asotin County, Washington, 99403, United States
CLARKSTON, WA 994032829
Phone: (509) 758-5511
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2004-06-14
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 |
|---|---|---|---|---|
| I20040614000848 | I | Family Practice | NM | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 352 | 331 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 254 | 241 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 156 | 145 | $0 |
| 99291 | Critical care, first 30-74 minutes | 44 | 44 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 22 | 22 | $0 |
Insurance plans in this area (ZIP 89511)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NM | |
| Certified Registered Nurse Anesthetist (Crna) | NV | |
| Internal Medicine, Gastroenterology | NM | |
| General Surgery | NM | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NM | |
| Nurse Practitioner | TX | |
| Family Practice | NM | |
| General Surgery | MI | |
| - | NM | |
| Cardiovascular Disease (Cardiology), Internal Medicine, Peripheral Vascular Disease | NM |
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