DAVID SPENCER MANGUM – Pediatric Hematology & Oncology Physician, NPI 1982993432
Pediatric Hematology & Oncology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
91 HEMATOLOGY/ONCOLOGY in UT
Provider Addresses for DAVID SPENCER MANGUM
100 Mario Capecchi Dr
Salt Lake City, UT 841131103
Phone: (801) 209-8168
Type: Location
PO BOX 191
ROCKLAND, DE 197320191
Phone: (302) 651-4200
Fax: (302) 651-4945
Type: Mailing
1600 ROCKLAND RD
WILMINGTON, DE 198033607
Phone: (302) 651-4200
Fax: (302) 651-4945
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $328.
Total Amount is formed as General ($328) + Research ($0) + Ownership ($0) = $328.
Last reported payment date: 2024-04-26 • Largest payer in this snapshot: JAZZ PHARMACEUTICALS INC. ($304).
Total Amount
$328
General + Research + Ownership
Payments
4
Total payment records
General Amount
$328
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| JAZZ PHARMACEUTICALS INC. | $304 |
| SERVIER PHARMACEUTICALS LLC | $24 |
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: 2022-07-19
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 |
|---|---|---|---|---|
| I20220719002373 | I | Hematology/Oncology | UT | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84113)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | UT | |
| Pediatric Medicine | UT | |
| Pediatric Medicine, Cardiovascular Disease (Cardiology) | UT | |
| Surgical Oncology | UT | |
| Pediatric Medicine | UT | |
| - | UT | |
| - | UT | |
| Pediatric Medicine, Cardiovascular Disease (Cardiology) | PA | |
| - | OH | |
| - | UT |
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