VICTOR SUVA-VIOLA MANGONA MD NPI 1790910412

NPI Information

  • NPI: 1790910412
  • Provider Name: VICTOR SUVA-VIOLA MANGONA, MD
  • Classification: Radiology - 2085R0001X
  • Specialization: Radiation Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1501 W ROYAL LN
    IRVING, TX
    ZIP 75063
  • Phone: (469) 513-5500

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NPI Details

Victor Suva-viola Mangona, MD is a radiation oncology radiology in Irving, TX with 17 years of experience. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. Victor Suva-viola Mangona, MD NPI is 1790910412. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2009

The provider's business location address is:

1501 W ROYAL LN
IRVING, TX
ZIP 75063-213
Phone: (469) 513-5500
Fax: (469) 420-9600

The NPI 1790910412 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, gadobutrol, 0.1 ml (HCPCS:A9585)
  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Intermediate proton beam radiation treatment (HCPCS:77523)
  • Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy (HCPCS:G6002)
  • Complex proton beam radiation treatment (HCPCS:77525)
  • Continuing radiation therapy consultation per week (HCPCS:77336)
  • Radiation treatment management, 5 treatment sessions (HCPCS:77427)
  • Design and construction of complex radiation treatment device (HCPCS:77334)
  • Calculation of radiation therapy dose (HCPCS:77300)
  • Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or (HCPCS:G2212)
  • Cranial lesion surgery using radiation over multiple sessions (HCPCS:77373)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • High precision radiation therapy planning (HCPCS:77301)
  • Mri scan of pelvis before and after contrast (HCPCS:72197)
  • Complex radiation therapy planning (HCPCS:77263)
  • Special radiation treatment (HCPCS:77470)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Ct scan of chest with contrast (HCPCS:71260)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)

The enumeration date for this NPI number is 5/26/2009 and was last updated on 2/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine4301094323MICHIGANNo
22085R0001XRadiologyRadiation OncologyQ5028TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P01667436OTHERTEXASRAILROAD
2348568201MEDICAIDTEXAS
3348568202MEDICAIDTEXAS
4240726001MEDICAIDARKANSAS
5201312910AMEDICAIDKANSAS
6348568203MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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