CHRISTINA ANGELINE MAMALIS (MD) – Cornea and External Diseases Specialist Physician, NPI 1063876530

CHRISTINA ANGELINE MAMALIS (MD) is a healthcare provider. based in Salt lake city, Utah. specializing in Cornea and External Diseases Specialist Physician. They hold the professional credentials MD. They hold a License No. 036165485 (IL). The NPI Number for CHRISTINA ANGELINE MAMALIS (MD) is 1063876530

Main info

Female
Name
CHRISTINA ANGELINE MAMALIS (MD)
NPI
1063876530
Phone
(801) 581-7606
Address
30 N 1900 E RM 4C104
Enumeration Date
11 April 2016
Last Update Date
21 July 2025

Contacts

Secure Messaging
cmamalis232301@direct.luhs.org
Main Contact
.
SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness95
Years active:10State licenses:3Other names

Provider Addresses for CHRISTINA ANGELINE MAMALIS (MD)

  • 30 N 1900 E RM 4C104

    SALT LAKE CITY, UT 841320002

    Phone: (801) 581-7606

    Type: Mailing

  • 6400 FANNIN ST STE 1800

    HOUSTON, TX 770301526

    Phone:

    Type: Mailing

  • 2160 S 1ST AVE

    MAYWOOD, IL 601533328

    Phone: (708) 216-9000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2023-03-31 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-31

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: 2023-08-29

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
I20230829002459IOphthalmologyILTBD

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 minutes4341$0
92012Established patient problem focused exam of visual system1111$0
View full utilization report →

Insurance plans in this area (ZIP 84132)

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Reviews

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Frequently asked questions

How do payers reference CHRISTINA ANGELINE MAMALIS (MD)?
For CHRISTINA ANGELINE MAMALIS (MD), use NPI 1063876530 as the unique 10-digit identifier.
Active or inactive — what applies to CHRISTINA ANGELINE MAMALIS (MD)?
You should see CHRISTINA ANGELINE MAMALIS (MD) as active in CMS-hosted NPPES data.
What expertise is attributed to CHRISTINA ANGELINE MAMALIS (MD)?
CHRISTINA ANGELINE MAMALIS (MD)'s specialty line reads Cornea and External Diseases Specialist Physician. Clinical services aligned with this taxonomy classification.
Where in Utah is CHRISTINA ANGELINE MAMALIS (MD) registered?
Use Salt Lake City, Utah as the headline location for CHRISTINA ANGELINE MAMALIS (MD) here.
When was this NPI issued?
Enumeration for CHRISTINA ANGELINE MAMALIS (MD) is noted as April 11, 2016 where the registry provides it.

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