Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396852406 Individual Practitioner Male Practitioner

Dr. Kenneth D Mandl , MD, MPH

Pediatrics • Boston, MA

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Mandl, MD, MPH is a registered healthcare professional specializing in Pediatrics in Boston, MA. Practice services are available at 300 LONGWOOD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

300 Longwood Ave
Children's Hospital Boston

Boston, MA 021155735

Telephone 6173556624
Fax 6177300335
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Boston, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.8 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
848 Specialists

Practicing in Boston, MA (2760 Statewide)

Telehealth Adoption Rate
0.8% 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MA 75410

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics - Pediatric Emergency Medicine

NUCC Taxonomy Code: 2080P0204X

State License MA 75410

A pediatrician who has special qualifications to manage emergencies in infants and children.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
3107180 (MA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1013334317

Doctor of Medicine (M.D.)

Dr. Sara Schutzman , MD

Pediatrics - Pediatric Emergency Medicine

NPI 1013954916

Doctor of Medicine (M.D.)

NPI 1083066500

Doctor of Medicine (M.D.)

Dr. Amundam Mancho , MD, MPH

Student in an Organized Health Care Education/Training Program

NPI 1093464885

Doctor of Medicine (M.D.), Master of Public Health

Dr. Cyril Sahyoun , MD

Emergency Medicine - Pediatric Emergency Medicine

NPI 1104065531

Doctor of Medicine (M.D.)

NPI 1134168255

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 16, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location August 16, 2007

Registered at 300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON, BOSTON, MA 021155735 (Tel: 6173556624)

📍
Updated Business Mailing Address August 16, 2007

Registered at 300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON-DIVISION OF EMERGENCY MED, BOSTON, MA 021155737 (Tel: 6173556624)

👤
Provider Name / Credentials Updated August 16, 2007

Recorded as KENNETH MANDL, MD, MPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2007

Pediatrics (License #75410 in MA)

🟢
Initial NPI Registration & Enumeration August 24, 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: 1396852406
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 24, 2006
Last Update: August 16, 2007
Sole Proprietor: No

Mailing Address

300 Longwood Ave, Children's Hospital Boston-Division Of Emergency Med

Boston, MA 021155737

Phone: 6173556624

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.