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MANISH MANDAVA MD
NPI 1639817075
Internal Medicine in Kansas City, MO

Active since May 25, 2022PECOS EnrolledAccepts Medicare Assignment
1004 CARONDELET DR STE 300, KANSAS CITY, MO 64114(816) 943-4700 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 7, 2026, Nov 17, 2025, May 25, 2022 (3 updates tracked since 2022).

About Manish Mandava Md NPPES

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

MANISH MANDAVA MD (NPI 1639817075) is an individual internal medicine provider in Kansas City, Missouri, licensed in Missouri (2025026134) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, is affiliated with Bates County Memorial Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1639817075
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMANISH MANDAVACredential: MD
Location Address1004 CARONDELET DR STE 300Kansas City, MO 64114-4858
Mailing Address1004 Carondelet Dr Ste 300Kansas City, MO 64114-4858 · (816) 943-4700
Phone(816) 943-4700
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2022
Enumeration DateMay 25, 2022
Last NPPES UpdateMay 7, 20263 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
✔ NPI 1639817075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in MO · 2025026134✔ Licensed in IL · 125079921
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.
1004 CARONDELET DR STE 300, Kansas City, MO 64114
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Secondary Practice Locations 4

Location 11000 Carondelet Dr # 100Kansas City, MO 64114-4673 · Phone (816) 943-4700
Location 2201 NW R D Mize RdBlue Springs, MO 64014-2513 · Phone (816) 228-5900
Location 31000 Carondelet DrKansas City, MO 64114-4673 · Phone (816) 942-4400
Location 4800 E Carpenter St Box 43Springfield, IL 62769-0001 · Phone (217) 545-8000 · Fax (217) 545-4735

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Manish Mandava 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 ID7911389564
PECOS Enrollment IDI20250711002273
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Manish Mandava reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prime Healthcare Kansas City - Physician Services LLC
0.1 mi
Family Medicine
930 CARONDELET DR STE 201
Kansas City, MO 64114
  • Reassigned Medicare billing, Missouri enrollment
  • 180 clinicians in this Medicare group
NPI 1427449487 (816) 389-6100
P & c Healthcare LLC
16 mi
Hospitalist
19600 E 39TH ST S
Independence, MO 64057
  • Reassigned Medicare billing, Missouri enrollment
  • 71 clinicians in this Medicare group
NPI 1124575923 (913) 222-9779

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.

Bates County Memorial Hospital

Acute Care Hospitals · Butler, MO
OwnershipGovernment - Local
CMS Certification Number260034
Location615 W Nursery StButler, MO 64730 · Bates County
Emergency services

St Joseph Medical Center

Acute Care Hospitals · Kansas City, MO
3/5 CMS rating
OwnershipProprietary
CMS Certification Number260085
Location1000 Carondelet DrKansas City, MO 64114 · Jackson County
Emergency services

Centerpoint Medical Center

Acute Care Hospitals · Independence, MO
3/5 CMS rating
OwnershipProprietary
CMS Certification Number260095
Location19600 East 39th StreetIndependence, MO 64057 · Jackson County
Emergency services Birthing friendly

Cass Regional Medical Center

Critical Access Hospitals · Harrisonville, MO
OwnershipGovernment - Local
CMS Certification Number261324
Location2800 E Rock Haven RoadHarrisonville, MO 64701 · Cass County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64114 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
$127.61 typical visit price
range $55.29 – $168.52
Typical copayment $31.90 (range $13.82 – $42.13)
Most-billed visit code 99204
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
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 11

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

KARLA L HOUSTON-GRAY MD
Internal Medicine
1004 CARONDELET DR STE 300
KANSAS CITY, MO 64114
Jackson County (816) 942-4500
CHRISTOPHER SCOTT RIFFEL M.D.
Internal Medicine
1004 CARONDELET DR STE 300
KANSAS CITY, MO 64114
Jackson County (816) 943-4700
HOPE LYNN BOYLE-JACOBS PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1004 CARONDELET DR STE 300
KANSAS CITY, MO 64114
Jackson County (816) 942-4500
DR. JANET M DUNN MD
Psychiatry & Neurology (Psychiatry)
1004 CARONDELET DR STE 300
KANSAS CITY, MO 64114
Jackson County (816) 942-4500
TARIQ MUSA M.D.
Internal Medicine (Pulmonary Disease)
1004 CARONDELET DR STE 300
KANSAS CITY, MO 64114
Jackson County (816) 942-4500
DR. SHIVANI REDDY SCHARF DO
Internal Medicine
1004 CARONDELET DR STE 300
KANSAS CITY, MO 64114
Jackson County (816) 943-4700
DR. DAFER M SAMARA MD
Internal Medicine (Critical Care Medicine)
1004 CARONDELET DR STE 300
KANSAS CITY, MO 64114
Jackson County (816) 942-4500
PARVEEN KUMAR KHOSLA MD
Psychiatry & Neurology (Neurology)
1004 CARONDELET DR STE 300
KANSAS CITY, MO 64114
Jackson County (816) 942-4500

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 Manish Mandava's NPI number?

The NPI number for Manish Mandava is 1639817075. It was assigned to this individual provider in the NPPES registry on May 25, 2022.

Where is Manish Mandava located?

Manish Mandava practices at 1004 Carondelet Dr Ste 300, Kansas City, MO 64114. The listed phone number is (816) 943-4700.

What is Manish Mandava's specialty?

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

Is Manish Mandava enrolled in Medicare?

Yes. Manish Mandava 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 Manish Mandava's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Manish Mandava reassigns Medicare benefits to 2 organizations: Prime Healthcare Kansas City - Physician Services LLC (Kansas City, MO) and P & c Healthcare LLC (Independence, MO). 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 Manish Mandava's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Manish Mandava accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Manish Mandava 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 Manish Mandava affiliated with any hospitals?

According to CMS data, Manish Mandava is affiliated with Bates County Memorial Hospital, St Joseph Medical Center, Centerpoint Medical Center and Cass Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Manish Mandava was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.