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DR. ANDREW MAHTANI M.D.
NPI 1659579613
Hospitalist in Greenville, IL

Active since July 10, 2007PECOS EnrolledAccepts Medicare Assignment
90.77/100
CMS Quality Rating
200 HEALTH CARE DR, GREENVILLE, IL 62246(618) 664-1230 Get Directions Write a Review

NPPES record last updated: October 24, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 24, 2019, May 10, 2019 (2 updates tracked since 2019).

About Dr. Andrew Mahtani M.d. NPPES

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

DR. ANDREW MAHTANI M.D. (NPI 1659579613) is an individual hospitalist provider in Greenville, Illinois, licensed in Missouri (2016008067) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and maintains a secondary practice location in Red Bud.

NPPES Registry Identity

NPI1659579613
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. ANDREW MAHTANICredential: M.D.
Location Address200 HEALTH CARE DRGreenville, IL 62246-1154
Mailing Address325 Spring StRed Bud, IL 62278-1105 · (618) 282-5205
Phone(618) 664-1230
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 10, 2007
Last NPPES UpdateOctober 24, 20192 updates tracked since enumeration
✔ NPI 1659579613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in MO · 2016008067✔ Licensed in IL · 036126330
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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 036126330 (IL)
200 HEALTH CARE DR, Greenville, IL 62246
Open in Google Maps ↗

Secondary Practice Location 1

Location 1325 Spring StRed Bud, IL 62278-1105 · Phone (618) 282-5205

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. Andrew Mahtani 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 ID4880882687
PECOS Enrollment IDI20101221000445
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

4

Medicare enrollment records show Andrew Mahtani reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cep America-Illinois Hospitalists, LLP
Same address
Hospitalist
200 HEALTH CARE DR
Greenville, IL 62246
  • Reassigned Medicare billing, Illinois enrollment
  • 329 clinicians in this Medicare group
NPI 1023517935 (618) 664-1230
Cep America- Illinois Snf, LLP
21 mi
Internal Medicine
1155 N 1ST ST
Breese, IL 62230
  • Reassigned Medicare billing, Illinois enrollment
  • 51 clinicians in this Medicare group
NPI 1154801744 (618) 526-4521
Galen Inpatient Physicians PC.
63 mi
Hospitalist
1015 BOWLES AVE
Fenton, MO 63026
  • Reassigned Medicare billing, Missouri and Indiana enrollments
  • Also billed through NPI 1982424867 (Indiana)
  • 93 clinicians in this Medicare group
NPI 1538714688 (636) 496-2000
Vitalen Inpatient Care, PC
478 mi
Hospitalist
1 SAINT FRANCIS DR FL 4
Greenville, SC 29601
  • Reassigned Medicare billing, South Carolina enrollment
  • 74 clinicians in this Medicare group
NPI 1619558327 (864) 255-1401

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
347 services184 patients
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.
217 services202 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.
142 services77 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
137 services130 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
111 services70 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
97 services68 patients

Hospital Affiliations CMS Care Compare 4

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

St Anthonys Memorial Hospital

Acute Care Hospitals · Effingham, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140032
Location503 N Maple StreetEffingham, IL 62401 · Effingham County
Emergency services Birthing friendly

St Josephs Hospital

Acute Care Hospitals · Breese, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number140145
Location9515 Holy Cross LnBreese, IL 62230 · Clinton County
Emergency services Birthing friendly

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

St Joseph's Hospital

Critical Access Hospitals · Highland, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number141336
Location12866 Troxler AvenueHighland, IL 62249 · Madison County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62246 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

90.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.98
Improvement Activities40
Cost68.13

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.

CHRISTOPHER ENGELE
Nurse Practitioner (Family)
200 HEALTH CARE DR
GREENVILLE, IL 62246
Bond County (618) 664-1230
DR. DELWIN MERCHANT MD
Emergency Medicine
200 HEALTH CARE DR
GREENVILLE, IL 62246
Bond County (618) 664-1230
CEP AMERICA-ILLINOIS HOSPITALISTS, LLP
Hospitalist
200 HEALTH CARE DR
GREENVILLE, IL 62246
Bond County (618) 664-1230
DR. ADAM EARL STENGER M.D.
Emergency Medicine
200 HEALTH CARE DR
GREENVILLE, IL 62246
Bond County (618) 664-1230
MR. STEVEN DEAN DONNAN CRNA
Nurse Anesthetist, Certified Registered
200 HEALTH CARE DR
GREENVILLE, IL 62246
Bond County (618) 664-1230
CHARLES E AUER MD
Emergency Medicine
200 HEALTH CARE DR
GREENVILLE, IL 62246
Bond County (618) 664-1230
HOLLY EARLEY
Social Worker (Clinical)
200 HEALTH CARE DR
GREENVILLE, IL 62246
Bond County (618) 664-1230
MICHAEL HARRIS MD
Internal Medicine
200 HEALTH CARE DR
GREENVILLE, IL 62246
Bond County (618) 664-1230

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 Andrew Mahtani's NPI number?

The NPI number for Andrew Mahtani is 1659579613. It was assigned to this individual provider in the NPPES registry on July 10, 2007.

Where is Andrew Mahtani located?

Andrew Mahtani practices at 200 Health Care Dr, Greenville, IL 62246. The listed phone number is (618) 664-1230.

What is Andrew Mahtani's specialty?

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

Is Andrew Mahtani enrolled in Medicare?

Yes. Andrew Mahtani 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 Andrew Mahtani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Mahtani reassigns Medicare benefits to 4 organizations: Cep America-Illinois Hospitalists, LLP (Greenville, IL), Cep America- Illinois Snf, LLP (Breese, IL), Galen Inpatient Physicians PC. (Fenton, MO) and Vitalen Inpatient Care, PC (Greenville, SC). 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 Andrew Mahtani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Andrew Mahtani affiliated with any hospitals?

According to CMS data, Andrew Mahtani is affiliated with St Anthonys Memorial Hospital, St Josephs Hospital, Hshs St Elizabeth's Hospital and St Joseph's Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Mahtani was last updated on October 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.