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

Edwin M Mandieka, MD

Individual provider Internal Medicine Physician · NPI 1295239945

Edwin M Mandieka, MD is an Interventional Cardiology in Boston, Massachusetts. Graduated from Michigan State University College of Human Medicine in 2018, 8 years ago. Practices with Affinity Physicians LLC, a 734-clinician group and accepts Medicare assignment. Licensed in Illinois and Massachusetts.

Years since qualifying
8
Trained at
Michigan State University College of Human Medicine
Licensed in
IL, MA
In the registry since
2018
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

75 Francis St
Boston, MA 02115-6106
Phone: (617) 732-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 287579 (MA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 125.071884 (IL)

Record details

NPI number1295239945
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 19, 2018
Last updated in NPPESAugust 28, 2025
Certification dateAugust 28, 2025
Mailing address75 Francis St, Boston, MA 02115-6110

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 2018 (8 years in practice)
Group practice Affinity Physicians Llc. — 734 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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