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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. FANNY MANTILLA
NPI 1568416980
Emergency Medicine in Bronx, NY

Active since May 20, 2006PECOS Enrolled
4422 3RD AVE, CARE OF ER DEPARTMENT, BRONX, NY 10457(718) 960-6103 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Fanny Mantilla NPPES

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

DR. FANNY MANTILLA (NPI 1568416980) is an individual emergency medicine provider in Bronx, New York, licensed in New York (212807) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with St Barnabas Hospital, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (1997).

NPPES Registry Identity

NPI1568416980
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. FANNY MANTILLA
Location Address4422 3RD AVE, CARE OF ER DEPARTMENTBronx, NY 10457-2545
Mailing Address4422 3rd Ave, Care Of Er DepartmentBronx, NY 10457-2545 · (718) 960-6103
Phone(718) 960-6103
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 1997
Enumeration DateMay 20, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1568416980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 212807
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
4422 3RD AVE, Bronx, NY 10457
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Other Identifiers 1

Medicaid02321259NY

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. Fanny Mantilla 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 ID1355379660
PECOS Enrollment IDI20050728000648
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 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
39 services39 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
36 services36 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

St Barnabas Hospital

Acute Care Hospitals · Bronx, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330399
Location4422 Third AvenueBronx, NY 10457 · Bronx County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10457 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

NAI LI D.O.
Emergency Medicine
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-9000
ADERINOLA OMONIYI PHARMD
Pharmacist
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-6179
CATHERINE AKRAM TAWFIK DO
Dermatology
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-6649
VALENTYNA OLINCHUK MD
Student in an Organized Health Care Education/Training Program
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-6211
DUSAY SALIH MD
Student in an Organized Health Care Education/Training Program
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-9000
KATHLEEN DIMAGGIO CNM, NP
Advanced Practice Midwife
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-9415
DR. ROBERT ADLAI MENKEL M.D.
Internal Medicine
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-9000
DEEPIKA KURUP
Student in an Organized Health Care Education/Training Program
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-9000

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 Fanny Mantilla's NPI number?

The NPI number for Fanny Mantilla is 1568416980. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Fanny Mantilla located?

Fanny Mantilla practices at 4422 3rd Ave Care Of ER Department, Bronx, NY 10457. The listed phone number is (718) 960-6103.

What is Fanny Mantilla's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Fanny Mantilla enrolled in Medicare?

Yes. Fanny 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 Fanny Mantilla affiliated with any hospitals?

According to CMS data, Fanny Mantilla is affiliated with St Barnabas Hospital.

When was this NPI record last updated?

The NPPES record for Fanny Mantilla was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.