ADA SHIENA MANDAPAT
NPI 1972361608
Oral & Maxillofacial Surgery in Seattle, WA
NPI Status: Active since March 07, 2024
Contact Information
1959 NE PACIFIC ST
SEATTLE, WA
ZIP 98195
Phone: (202) 543-5860
- Individual
- Female
- Oral & Maxillofacial Surgery
- PECOS Enrolled
About ADA SHIENA MANDAPAT
This page provides the complete NPI Profile along with additional information for Ada Shiena Mandapat, a provider established in Seattle, Washington with a medical specialization in Oral & Maxillofacial Surgery. The healthcare provider is registered in the NPI registry with number 1972361608 assigned on March 2024. The practitioner's primary taxonomy code is 204E00000X with license number DR61542286 (WA). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1972361608
- Provider Name
- ADA SHIENA MANDAPAT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1959 NE PACIFIC ST SEATTLE, WA 98195
- Location Phone
- (202) 543-5860
- Mailing Address
- 1959 NE PACIFIC STREET BOX 357134 SEATTLE, WA 98195
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-07-2024
- Last Update Date
- 07-02-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Oral & Maxillofacial Surgery
- Taxonomy Code
- 204E00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- DR61542286
- License State
- WA
- Taxonomy Description
- Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Medicare Participation & PECOS Enrollment Status
Ada Shiena Mandapat is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 7 | 2 | 3 | 6 | 1 | 6 | 0 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 14 | 2 | 6 | 6 | 2 | 6 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 4 + 2 + 6 + 6 + 2 + 6 + 0 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1972361608 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1164417119 | DR. PETER JACOB NELSON M.D. Individual | Internal Medicine (Nephrology) | 1959 NE PACIFIC ST SEATTLE, WA 98195 (206) 520-5307 |
| 1528054616 | GARY A STOBBE MD Individual | Psychiatry & Neurology (Neurology) | 1959 NE PACIFIC ST SEATTLE, WA 98195 (206) 598-6950 |
| 1972592731 | LYDIA ANN CHWASTIAK MD Individual | Psychiatry & Neurology (Psychiatry) | 1959 NE PACIFIC ST SEATTLE, WA 98195 (206) 598-6195 |
| 1679563977 | ANTHONY MITCHELL FNP Individual | Nurse Practitioner (Family) | 1959 NE PACIFIC ST BOX 356174 SEATTLE, WA 98195 (206) 598-2368 |
| 1992796205 | MS. SARA JANET MICHELSON M.S., C.G.C. Individual | Genetic Counselor, MS | 1959 NE PACIFIC ST BOX 357720 SEATTLE, WA 98195 (206) 598-4030 |
| 1255316659 | ANGELA C FOX M.S. Individual | Genetic Counselor, MS | 1959 NE PACIFIC ST BOX 356320 UNIV. OF WASH SEATTLE, WA 98195 (206) 616-7192 |
| 1316926108 | REBECCA ANNE EVANS ARNP Individual | Nurse Practitioner (Family) | 1959 NE PACIFIC ST SEATTLE, WA 98195 (206) 598-4000 |
| 1942272984 | ADEYINKA A ADEDIPE M.D. Individual | Emergency Medicine | 1959 NE PACIFIC ST SEATTLE, WA 98195 (206) 598-4400 |
| 1932172079 | DR. HILARY SEGLIN GAMMILL MD Individual | Obstetrics & Gynecology (Maternal & Fetal Medicine) | 1959 NE PACIFIC ST SEATTLE, WA 98195 (206) 598-4070 |
| 1689649311 | DR. WINSTON JOHN WARME MD Individual | Orthopaedic Surgery (Sports Medicine) | 1959 NE PACIFIC ST BOX 356500 SEATTLE, WA 98195 (206) 543-3690 |
| 1285603555 | DR. ANN K WITTKOWSKY PHARMD Individual | Pharmacist (Pharmacotherapy) | 1959 NE PACIFIC ST BOX 356015 SEATTLE, WA 98195 (206) 598-5626 |
| 1124080387 | LEDJIE R. BALLARD CRNA Individual | Nurse Anesthetist, Certified Registered | 1959 NE PACIFIC ST SEATTLE, WA 98195 (206) 543-2470 |
| 1821050063 | KATHERINE G. BUCHANAN CRNA Individual | Nurse Anesthetist, Certified Registered | 1959 NE PACIFIC ST SEATTLE, WA 98195 (206) 598-4260 |
| 1225090400 | CONNIE J. ALLEY CRNA Individual | Nurse Anesthetist, Certified Registered | 1959 NE PACIFIC ST SEATTLE, WA 98195 (206) 598-4260 |
| 1902868052 | DOROTA WARD CRNA Individual | Nurse Anesthetist, Certified Registered | 1959 NE PACIFIC ST SEATTLE, WA 98195 (206) 598-4260 |
| 1740242809 | DANIEL D. LANGILLE CRNA Individual | Nurse Anesthetist, Certified Registered | 1959 NE PACIFIC ST SEATTLE, WA 98195 (206) 598-4260 |
| 1770545345 | MS. MELISSA ELAINE BENNETT CRNA Individual | Nurse Anesthetist, Certified Registered | 1959 NE PACIFIC ST BOX 356540 SEATTLE, WA 98195 (206) 598-4260 |
| 1699737395 | JEUDIEL R. PUENTE CRNA Individual | Nurse Anesthetist, Certified Registered | 1959 NE PACIFIC ST SEATTLE, WA 98195 (206) 598-4260 |
| 1588626162 | DEBORAH M. CASTELLAN CRNA Individual | Nurse Anesthetist, Certified Registered | 1959 NE PACIFIC ST SEATTLE, WA 98195 (206) 598-4260 |
| 1134181852 | BRIAN M. BUCHANAN CRNA Individual | Nurse Anesthetist, Certified Registered | 1959 NE PACIFIC ST SEATTLE, WA 98195 (206) 598-4260 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972361608, enumerated in the NPI registry as an "individual" on March 07, 2024
The provider is located at 1959 Ne Pacific St Seattle, Wa 98195 and the phone number is (202) 543-5860
The provider's speciality is Oral & Maxillofacial Surgery with taxonomy code 204E00000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
This NPI record was last updated on March 07, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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