LEENA MAMMEN MD – NPI #1275568826
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

LEENA MAMMEN is a radiologist located in FAYETTEVILLE, NC. NPPES has assigned the NPI number 1275568826 to LEENA MAMMEN on July 12, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 3 years ago on Jan 10, 2023. 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 LEENA MAMMEN below.

NPI Profile for
LEENA MAMMEN

NPI Number
1275568826
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
LEENA MAMMEN
Credentials
MD
Primary location
3186 VILLAGE DR STE 201
FAYETTEVILLE, NC 28304-3979
Phone: (910) 486-5700 Fax: (910) 486-5950
Mailing address
3264 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525-9746
Phone: (616) 363-7272 Fax: (616) 363-7290
Sole Proprietor
No
Updated
Certification Date
Jan 10, 2023

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.

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
2085R0202X
- Radiology / Diagnostic Radiology (Primary)		 NC 2022-02626

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
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE - Graduated 1990
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
Affiliations
LEENA MAMMEN is affiliated with the following medical group(s):
  • HOSPITAL
    • ASCENSION MACOMB OAKLAND HOSP-WARREN CAMPUS
      11800 EAST TWELVE MILE ROAD
      WARREN, MI 48093
    • BRONSON METHODIST HOSPITAL
      601 JOHN STREET
      KALAMAZOO, MI 49007
    • MCLAREN CENTRAL MICHIGAN
      1221 SOUTH DRIVE
      MOUNT PLEASANT, MI 48858
    • MIDMICHIGAN MEDICAL CENTER - ALPENA
      1501 W CHISHOLM ST
      ALPENA, MI 49707
    • SPECTRUM HEALTH
      100 MICHIGAN ST NE
      GRAND RAPIDS, MI 49503

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