ERICA MAMAUAG – NPI #1134652035
Pediatrics

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

ERICA MAMAUAG is a physician located in LOUISVILLE, KY. NPPES has assigned the NPI number 1134652035 to ERICA MAMAUAG on April 06, 2017. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2080P0207X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Hematology-Oncology

The NPI profile was last updated on Mar 24, 2025. 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 ERICA MAMAUAG below.

NPI Profile for
ERICA MAMAUAG

NPI Number
1134652035
Enumeration Date

(more than 9 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
ERICA MAMAUAG
Primary location
411 E CHESTNUT ST # 4B
LOUISVILLE, KY 40202-1713
Phone: (502) 588-3600 Fax: (502) 588-9536
3 Other location(s):
2401 Terra Crossing Blvd Ste 202
Louisville, KY 40245-5395
Phone: (502) 210-4301
500 S Preston St Rm 305
Louisville, KY 40202-1702
Phone: (502) 852-8696
4401 Penn Avenue
Plaza Building, Floor 5, Room 506
Pittsburgh, PA 15224
Phone: (412) 692-7608
Mailing address
PO BOX 776879
CHICAGO, IL 60677-6879
Phone: (502) 588-9490 Fax: (502) 272-5116
Sole Proprietor
No
Updated
Certification Date
Mar 24, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ERICA MAMAUAG

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.

DescriptionIssuerStateIdentifier
otherSTATE LICENSEKY59655
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
2080P0207X
- Pediatrics / Pediatric Hematology-Oncology (Primary)
KY 59655
390200000X
- Student in an Organized Health Care Education/Training Program
PA MD475044
208000000X
- Pediatrics
KY 59655

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

Education
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE - Graduated 2018
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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