DAVID E MANDELBAUM (MD, PHD) – Neurology with Special Qualifications in Child Neurology Physician, NPI 1669408696
Neurology with Special Qualifications in Child Neurology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DAVID E MANDELBAUM (MD, PHD)
1 PARK ST
NEW HAVEN, CT 065048901
Phone: (203) 785-4081
Fax: (203) 737-7635
Type: Location
Rhode Island Hospital, 593, Eddy Street, Downtown, Providence, Providence County, Rhode Island, 02903, United States
EEG LAB
PROVIDENCE, RI 02903
Phone: (401) 444-5381
Type: Location
237, Irving Avenue, Blackstone, Wayland, Providence, Providence County, Rhode Island, 02906, United States
PROVIDENCE, RI 029065518
Phone: (401) 595-3467
Type: Mailing
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: 2023-04-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20060411000038 | I | Neurology | RI | TBD |
| I20181218003600 | I | Neurology | NY | TBD |
| I20230420000830 | I | Pediatric Medicine | CT | 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 06504)
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