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DR. JOSE IGNACIO MANTILLA MD
NPI 1114661204
Internal Medicine in Fort Lauderdale, FL

Active since April 25, 2022PECOS EnrolledAccepts Medicare Assignment
1600 S ANDREWS AVE, FORT LAUDERDALE, FL 33316(954) 355-4400 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jose Ignacio Mantilla Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOSE IGNACIO MANTILLA MD (NPI 1114661204) is an individual internal medicine provider in Fort Lauderdale, Florida, licensed in Florida (ME174410) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Broward Health Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1114661204
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOSE IGNACIO MANTILLACredential: MD
Location Address1600 S ANDREWS AVEFort Lauderdale, FL 33316-2510
Mailing Address9815 Nw 4th TerMiami, FL 33172-4009 · (786) 619-4558
Phone(954) 355-4400
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 25, 2022
Last NPPES UpdateJuly 30, 2025
NPPES CertifiedJuly 30, 2025
✔ NPI 1114661204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME174410
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1600 S ANDREWS AVE, Fort Lauderdale, FL 33316
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jose Ignacio Mantilla Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789197179
PECOS Enrollment IDI20250630001381
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Broward Health Medical Center

Acute Care Hospitals · Fort Lauderdale, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100039
Location1600 S Andrews AveFort Lauderdale, FL 33316 · Broward County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33316 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIANNE MATTOX PARKER M.D.
Pediatrics
1600 S ANDREWS AVE, NEWBORN NURSERY
FORT LAUDERDALE, FL 33316
Broward County (954) 355-5810
AKILAH FULLER PHARMD, MS
Pharmacist
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Broward County (954) 355-4400
JACOB GOLDENBERG MD
Student in an Organized Health Care Education/Training Program
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Broward County (954) 941-8300
TIFFANY SKYE SCULTHORPE DO, MS
Student in an Organized Health Care Education/Training Program
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Broward County (954) 355-4400
JOHN BERNE MD
Surgery
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Broward County (305) 918-7050
DR. EDUARDO A. OTERO M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1600 S ANDREWS AVE, 4TH FLR NICU
FT LAUDERDALE, FL 33316
Broward County (954) 355-5870
WESTSIDE HOSPITALIST INC
Hospitalist
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Broward County (954) 355-4400
PETER A. NAMNUM, MD, PA
Internal Medicine (Pulmonary Disease)
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Broward County (954) 355-4400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jose Mantilla's NPI number?

The NPI number for Jose Mantilla is 1114661204. It was assigned to this individual provider in the NPPES registry on April 25, 2022.

Where is Jose Mantilla located?

Jose Mantilla practices at 1600 S Andrews Ave, Fort Lauderdale, FL 33316. The listed phone number is (954) 355-4400.

What is Jose Mantilla's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jose Mantilla enrolled in Medicare?

Yes. Jose Mantilla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jose Mantilla affiliated with any hospitals?

According to CMS data, Jose Mantilla is affiliated with Broward Health Medical Center.

When was this NPI record last updated?

The NPPES record for Jose Mantilla was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.