Kenneth Mandato
Diagnostic Radiology (CMS) · The Villages, FL
At a glance
910 Old Camp Rd Ste 120, The Villages, FL 32162-5605
Published activity: Leg revascularization (restoring blood flow). View counts and coverage
NPPES record updated May 8, 2020. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
910 Old Camp Rd Ste 120The Villages, FL 32162-5605
Additional reported practice locations
801 E Dixie Ave Ste 104Leesburg, FL 347487601
Phone: 3527875858
Fax: 3527286749
Education & affiliations
- Medical / professional school
- Boston University School Of Medicine
- Graduation year
- 1995
- CMS specialties
- Diagnostic Radiology
Practice groups
- Lake Medical Imaging And Breast Center At The Villages Llc
- Radiology Associates Of Central Florida L L C
Reported hospital affiliations
- Uf Health Leesburg Hospital Leesburg, FL
- Villages Regional Hospital, The The Villages, FL
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Source: CMS Facility Affiliation Data · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
| Procedure category | Published Medicare activity |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Find providers with a similar service mix
Compare 2024 published Medicare activity in the same reported specialty, here or in another city.
Industry-reported general payments
Includes reported transfers of value, such as meals, travel, or consulting. Payments do not establish improper conduct or quality of care. Research funding and ownership values are excluded from this total.
See payment purposes and reporting companies
Reported purposes
| Purpose | Amount |
|---|---|
| Food and beverage | $63.31 |
Reporting companies
| Company | Amount |
|---|---|
| PENUMBRA, INC. | $63.31 |
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Diagnostic Radiology (CMS)
- Taxonomy code
- 2085R0204X
- Enumeration date
- Oct 25, 2006
- Record updated
- May 8, 2020
More registry details
- Provider type
- Individual · Type 1
Reported taxonomies and licenses
2085R0202X
License reported: ME136921 FL
2085R0204X · Primary
License reported: ME136921 FL
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
910 Old Camp Rd Ste 120The Villages, FL 32162-5605
- Phone
- (352) 787-5858
- Fax
- (352) 728-6749
Mailing address
801 E DIXIE AVE STE 104LEESBURG, FL 347487601
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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