JOHN PHILIP MAMANA, SR. M.D. – NPI #1487654554
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

JOHN MAMANA, SR. is a physician located in RESTON, VA. NPPES has assigned the NPI number 1487654554 to JOHN MAMANA, SR. on July 29, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. He is also known by his other name JOHN MAMANA. The primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 16 years ago on Mar 25, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOHN MAMANA, SR. below.

NPI Profile for
JOHN P. MAMANA

NPI Number
1487654554
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JOHN P. MAMANA
Professional Name: JOHN PHILIP MAMANA, SR.
Credentials
M.D.
Primary location
12040 S LAKES DR
SUITE 205
RESTON, VA 20191-1246
Phone: (703) 230-6990 Fax: (703) 230-6990
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for JOHN MAMANA, SR.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNA/US HEALTHCAREVA461832
OTHERAFFORDABLE FIRST HEALTHVA723576
OTHERAHP MGD CHOICEVA4092013
OTHERANTHEM HEALTHKEEPERSVA224013
OTHERBCBS DC CAPCAREVA45560004
OTHERCCNVA541908735
OTHERCHAMPUS/TRICARE/STANDARDVA541908735
OTHERCIGNA HMOVA5325453-022
OTHERMDIPA/OPTIMUM CHOICE/MAMSVA257642
OTHERNCPPOVA505114
OTHERONE HEALTH GREATWESTVA360386
OTHERPHCSVA541908735
OTHERPREFERRED PLANVA541908735
OTHERRAILROAD MEDICAREVA110184237
OTHERTRIGON KEYADVA224013
OTHERUNITED HEALTH MID-ATLANTIVA0403501
OTHERUNITED HEALTH VIRGINIAVA0400438
MEDICAIDVA5820308
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)
VA 0101021602

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
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How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.