GUILLERMO ALBERTO MANTILLA M.D.
NPI 1326234816
Hospitalist in Carmichael, CA

Q: What is Guillermo Mantilla's NPI number?

The NPI number for Guillermo Mantilla is 1326234816. It was assigned to this individual provider in the NPPES registry on September 19, 2007.

Q: What is Guillermo Mantilla's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Active since September 19, 2007PECOS EnrolledAccepts Medicare Assignment

96.5/100

CMS Quality Rating

6555 COYLE AVE STE 280, CARMICHAEL, CA 95608(916) 536-3540(916) 536-3541 Get Directions Write a Review

NPPES record last updated: February 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 26, 2019, May 15, 2017 (2 updates tracked since 2017).

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About Guillermo Alberto Mantilla M.d. NPPES

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

GUILLERMO ALBERTO MANTILLA M.D. (NPI 1326234816) is an individual hospitalist provider in Carmichael, California, licensed in California (C159709) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1326234816

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameGUILLERMO ALBERTO MANTILLACredential: M.D.

Location Address6555 COYLE AVE STE 280Carmichael, CA 95608-0302

Mailing Address3400 Data DrRancho Cordova, CA 95670-7956

Phone(916) 536-3540

Fax(916) 536-3541

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateSeptember 19, 2007

Last NPPES UpdateFebruary 26, 20192 updates tracked since enumeration

✔ NPI 1326234816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

Licenses✔ Licensed in CA · C159709✔ Licensed in TN · 42647

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

6555 COYLE AVE STE 280, Carmichael, CA 95608

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Other Identifiers 3

Other4352401TN · Bcbs

Medicaid7100423880KY

Medicaid1512334TN

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

Guillermo Alberto Mantilla M.d. 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 ID6002903762

PECOS Enrollment IDI20190403001089

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

345 services329 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95608 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

$137.20 typical visit price

range $60.44 – $180.85

Typical copayment $34.30 (range $15.11 – $45.21)

Most-billed visit code 99204

Established Patient

$105.95 typical visit price

range $19.88 – $148.15

Typical copayment $26.48 (range $4.97 – $37.03)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.34

Promoting Interoperability

100

Improvement Activities

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.

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