DR. MANGALA VENKATESH (M.D.) – Neurology Physician, NPI 1265411029

DR. MANGALA VENKATESH (M.D.) is a healthcare provider. based in Wilmington, Ohio. specializing in NEUROLOGY. They hold the professional credentials M.D.. They hold a License No. 35045891 (OH). The NPI Number for DR. MANGALA VENKATESH (M.D.) is 1265411029

Main info

Female
49 Years Of Experience
Accepts Medicare Assignment
Name
DR. MANGALA VENKATESH (M.D.)
NPI
1265411029
Phone
(937) 382-5438
Address
630 W Main St
Enumeration Date
11 January 2006
Last Update Date
22 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9372084200
Graduation Year
1977 (49 years ago)
PAC ID
9032242649
Group Practice PAC ID
5597708594
Professional Enrollment ID
I20100803001016
Address ID
OH454591298CE2300XDRXX401

Contacts

REST API
mvenkatesh1409578@direct.premierhealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,301 NEUROLOGY in OH

Provider Addresses for DR. MANGALA VENKATESH (M.D.)

  • 630 W Main St

    Suite 207

    Wilmington, OH 451772170

    Phone: (937) 382-5438

    Fax: (937) 382-5260

    Type: Location

  • 2300 MIAMI VALLEY DR STE 550

    CENTERVILLE, OH 454591298

    Phone: (937) 438-7500

    Fax: (937) 438-7555

    Type: Location

  • 3170 KETTERING BLVD BLDG B3

    MORAINE, OH 454391924

    Phone: (937) 991-3188

    Fax: (937) 223-9811

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $362.

Total Amount is formed as General ($362) + Research ($0) + Ownership ($0) = $362.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Amneal Pharmaceuticals LLC ($123).

Total Amount

$362

General + Research + Ownership

Payments

6

Total payment records

General Amount

$362

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

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: 2010-08-03

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
I20100803001016INeurologyOHTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes8166$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4226$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2819$0
99204New patient office or other outpatient visit, 45-59 minutes2525$0
99213Established patient office or other outpatient visit, 20-29 minutes2423$0
View full utilization report →

Insurance plans in this area (ZIP 45177)

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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: 5597708594View full group profile
NameSpecialtyState
Hand Surgery, Orthopedic SurgeryOH
Physician AssistantOH
-OH
Cardiovascular Disease (Cardiology)OH
-OH
Physician AssistantOH
Thoracic SurgeryPA
Physician AssistantOH
Nurse PractitionerOH
Physician AssistantOH

Reviews

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Frequently asked questions

Is DR. MANGALA VENKATESH (M.D.) listed with a National Provider Identifier?
Yes — DR. MANGALA VENKATESH (M.D.) has NPI 1265411029 on file in the registry.
Active or inactive — what applies to DR. MANGALA VENKATESH (M.D.)?
You should see DR. MANGALA VENKATESH (M.D.) as active in CMS-hosted NPPES data.
What kind of doctor is DR. MANGALA VENKATESH (M.D.)?
DR. MANGALA VENKATESH (M.D.) is associated with Neurology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. MANGALA VENKATESH (M.D.) located near Wilmington?
DR. MANGALA VENKATESH (M.D.) currently maps to Wilmington, Ohio in this extract.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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