Erika Mengalle, DO
NPI 1518427376 · Hospitalist Physician · Providence, RI
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Erika Mengalle, DO is a Hospitalist Physician provider in Providence, RI (NPI 1518427376).
Provider details
- NPI number
- 1518427376
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- DO01166 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
7 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
185 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 67 | $171 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 47 | $78 |
| Prolonged Hospital Inpatient Or Observation Care Evaluation and Management Service(s) Beyond the Total Time for the Primary Service (when the Primary Service Has Been Selected Using Time on the Date of the Primary Service); Each Additional 15 Minutes By ThG0316 | 34 | $30 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 21 | $117 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 16 | $113 |
Typical Medicare-allowed amounts for these services range $30–$171 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 2500 Metrohealth DriveCleveland, OH 44109-1998Phone: (216) 778-4486
Registry dates
- Enumerated
- 2019-03-20
- Last updated
- 2022-08-18
- Certified
- 2022-08-18
Frequently asked questions
- What is Erika Mengalle's NPI number?
- Erika Mengalle's National Provider Identifier (NPI) is 1518427376, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Erika Mengalle's specialty?
- Erika Mengalle is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Erika Mengalle located?
- Erika Mengalle's practice location on file with NPPES is 593 Eddy St, Providence, RI 02903-4923.
- What is Erika Mengalle's phone number?
- The practice phone number listed in the NPPES registry for Erika Mengalle is (401) 444-3985.
- Does Erika Mengalle accept Medicare?
- Erika Mengalle is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Erika Mengalle's NPI active?
- Yes — Erika Mengalle's NPI (1518427376) is active in the NPPES registry as of the last update on 2022-08-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.