EDMUNDO R MANDAC (MD) – Emergency Medicine Physician, NPI 1215998463

EDMUNDO R MANDAC (MD) is a healthcare provider. based in Euclid, Ohio. specializing in Emergency Medicine Physician. They hold the professional credentials MD. They hold a License No. 35044596M (OH). The NPI Number for EDMUNDO R MANDAC (MD) is 1215998463

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
EDMUNDO R MANDAC (MD)
NPI
1215998463
Phone
Not provided
Address
24701 EUCLID AVE
Enumeration Date
29 March 2006
Last Update Date
15 July 2011

Doctor Profile

Medical School Name
UNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE
Secondary Phone
2406862300
Graduation Year
1977 (49 years ago)
PAC ID
5193857688
Group Practice PAC ID
8224057047
Professional Enrollment ID
I20100719000938
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for EDMUNDO R MANDAC (MD)

  • 24701, Euclid Avenue, Euclid, Cuyahoga County, Ohio, 44117, United States

    3RD FLOOR

    EUCLID, OH 441171714

    Phone:

    Type: Mailing

  • Lake County Memorial Hospital West, 36000, Euclid Avenue, Concord Mobile Home Park, Willoughby, Lake County, Ohio, 44094, United States

    WILLOUGHBY, OH 44094

    Phone: (440) 953-6203

    Fax: (440) 953-6202

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 44117)

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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: 8224057047View full group profile
NameSpecialtyState
Internal Medicine, Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicinePR
-OH
Emergency MedicineOH
-NJ

Reviews

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Frequently asked questions

Does EDMUNDO R MANDAC (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — EDMUNDO R MANDAC (MD) uses 1215998463.
Is EDMUNDO R MANDAC (MD) still practicing?
EDMUNDO R MANDAC (MD) is currently listed as active in the public NPI registry.
What is EDMUNDO R MANDAC (MD)'s specialty?
The listing groups EDMUNDO R MANDAC (MD) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect EDMUNDO R MANDAC (MD) on a map?
Expect Euclid, Ohio as a primary anchor for EDMUNDO R MANDAC (MD) unless the record lists multiple sites.
Why does EDMUNDO R MANDAC (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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