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

Dr. Mark David Mangano, MD

Individual provider Internal Medicine Physician · NPI 1386909000

Dr. Mark David Mangano, MD is a Diagnostic Radiology in Boston, Massachusetts. Graduated from Washington University School of Medicine in 2012, 14 years ago. Practices with Portsmouth Radiological PA, a 13-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
14
Trained at
Washington University School of Medicine
Licensed in
MA
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

55 Fruit St Fnd 216
Boston, MA 02114-2621
Phone: (617) 724-4255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 251747 (MA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 251747 (MA)

Record details

NPI number1386909000
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 9, 2012
Last updated in NPPESNovember 30, 2013
Mailing address55 Fruit St, Fnd 216, Boston, MA 02114-2621

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesINTERVENTIONAL RADIOLOGY
Medical schoolWASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Portsmouth Radiological Pa — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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