Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Alicia Mangram, MD

Individual provider Surgical Critical Care Physician · NPI 1972575504

Dr. Alicia Mangram, MD is a General Surgery in Phoenix, Arizona. Graduated from Meharry Medical College School of Medicine in 1994, 32 years ago. Practices with Acute Care Surgical Specialists LLC, a 19-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
32
Trained at
Meharry Medical College School of Medicine
Licensed in
AZ
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

16601 N 40th St Ste 204
Phoenix, AZ 85032-3356
Phone: (602) 633-3721
Fax: (602) 595-1127
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Critical Care Physician (primary) Taxonomy 2086S0102X · Licence 45385 (AZ)

Record details

NPI number1972575504
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 7, 2006
Last updated in NPPESOctober 21, 2021
Certification dateOctober 21, 2021
Mailing address16601 N 40th St Ste 204, Phoenix, AZ 85032-3356

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Also practisesCRITICAL CARE (INTENSIVISTS)
Medical schoolMEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Acute Care Surgical Specialists Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Phoenix