DR. DAVID RENE MANTILLA MD
NPI 1598252835
Surgery - Vascular Surgery in Lees Summit, MO
About Dr. David Rene Mantilla Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DAVID RENE MANTILLA MD (NPI 1598252835) is an individual vascular surgery provider in Lees Summit, Missouri, licensed in Kansas (04-51707) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Shawnee Mission, and maintains a secondary practice location in Olathe.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. David Rene 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.
Medicare Billing Reassignments
3Medicare enrollment records show David Mantilla reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Merriam, KS 66204
- Reassigned Medicare billing, Kansas enrollment
- 384 clinicians in this Medicare group
Dakota Dunes, SD 57049
- Reassigned Medicare billing, Kansas and Missouri enrollments
- 9 clinicians in this Medicare group
Dakota Dunes, SD 57049
- Reassigned Medicare billing, Kansas and Missouri enrollments
- 9 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Adventhealth Shawnee Mission
Acute Care Hospitals · Shawnee Mission, KSSaint Luke's South Hospital
Acute Care Hospitals · Overland Park, KSNorth Kansas City Hospital
Acute Care Hospitals · North Kansas City, MOLee's Summit Medical Center
Acute Care Hospitals · Lees Summit, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 64064 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LEES SUMMIT, MO 64064
LEES SUMMIT, MO 64064
LEES SUMMIT, MO 64064
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 David Mantilla's NPI number?
The NPI number for David Mantilla is 1598252835. It was assigned to this individual provider in the NPPES registry on April 20, 2018.
Where is David Mantilla located?
David Mantilla practices at 3600 NE Ralph Powell Rd Ste D, Lees Summit, MO 64064. The listed phone number is (816) 675-0920.
What is David Mantilla's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.
Is David Mantilla enrolled in Medicare?
Yes. David 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.
Which organizations bill Medicare for David Mantilla's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Mantilla reassigns Medicare benefits to 3 organizations: Shawnee Mission Medical Center Inc (Merriam, KS), Sage Medical Prof LLC (Dakota Dunes, SD) and Vascular & Interventional Radiology Of Siouxland (Dakota Dunes, SD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Mantilla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does David Mantilla accept?
Health plans from Ambetter Health, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Kansas City and 2 other insurers list David Mantilla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is David Mantilla affiliated with any hospitals?
According to CMS data, David Mantilla is affiliated with Adventhealth Shawnee Mission, Saint Luke's South Hospital, North Kansas City Hospital and Lee's Summit Medical Center.
When was this NPI record last updated?
The NPPES record for David Mantilla was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Dr. David Rene Mantilla, MD · NPI 1598252835
Vascular Surgery physician in Lees Summit, Missouri. Individual provider, active in the CMS NPPES registry since April 20, 2018.
## Identity
- **NPI:** 1598252835 (Entity type: Individual)
- **Enumerated:** April 20, 2018
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **State license:** 04-51707 (Kansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 3600 NE RALPH POWELL RD STE D, Lees Summit, MO 64064-2369
- **Phone:** (816) 675-0920
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Shawnee Mission Medical Center Inc (NPI 1992735690, Merriam, KS); Sage Medical Prof LLC (NPI 1588156657, Dakota Dunes, SD); Vascular & Interventional Radiology Of Siouxland (NPI 1225636129, Dakota Dunes, SD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** September 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1598252835) · Data from the CMS NPPES public registry.