Active NPI 1164493623 Individual Practitioner Male Practitioner

Mangesh Kanvinde

General Practice • Cold Spring, KY

Professional Overview & Biography Verified Profile Summary

Mangesh Kanvinde is a registered healthcare professional specializing in General Practice in Cold Spring, KY. Practice services are available at 361 CROSS ROADS BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

361 Cross Roads Blvd

Cold Spring, KY 41076

Telephone 8594740374

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Cold Spring, KY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 32.1 Yrs

Regional Practice Density

2 Specialists

Practicing in Cold Spring, KY (142 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License KY 39807

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License IN 01059611A

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License OH 35076521

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License FL ME96979

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2205536 (OH)

Commercial Insurance / Payer ID Anthem Id

000000510664 (OH)

Commercial Insurance / Payer ID Wellcare

422454 (OH)

Commercial Insurance / Payer ID Buckeye

733744 (OH)

Commercial Insurance / Payer ID Aetna

7496427 (OH)

Commercial Insurance / Payer ID Railroad Medicare

P00381873 (OH)

Commercial Insurance / Payer ID Bcmh

0304914 (OH)

Commercial Insurance / Payer ID Unison

000000221371 (OH)

Commercial Insurance / Payer ID Railroad Medicare

P00600867 (OH)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

📍

Updated Practice Location May 21, 2018

Registered at 361 CROSS ROADS BLVD, COLD SPRING, KY 41076 (Tel: 8594740374)

✅

NPI Profile Active March 12, 2018

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address March 12, 2018

Registered at 361 CROSS ROADS BLVD, COLD SPRING, KY 410762194 (Tel: 8594740374)

📍

Updated Practice Location March 12, 2018

Registered at 11100 EUCLID AVENUE, CLEVELAND, OH 44106 (Tel: 2168441700)

👤

Provider Name / Credentials Updated March 12, 2018

Recorded as MANGESH KANVINDE

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2018

General Practice (License #01059611A in IN)

✅

NPI Profile Active June 30, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location June 30, 2015

Registered at 11100 EUCLID AVENUE, CLEVELAND, OH 44106 (Tel: 2168441700)

📍

Updated Business Mailing Address June 30, 2015

Registered at 3605 WARRENSVILLE CTR RD, MSC 9152, SHAKER HTS, OH 44122 (Tel: 2162866299)

👤

Provider Name / Credentials Updated June 30, 2015

Recorded as MANGESH KANVINDE

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2015

Radiology (License #39807 in KY)

🟢

Initial NPI Registration & Enumeration January 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164493623

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 31, 2006

Last Update: May 21, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

361 Cross Roads Blvd

Cold Spring, KY 410762194

Phone: 8594740374

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.