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DR. GENESIS TALIA MANCHA MD
NPI 1750905097
Pediatrics in Chicago, IL

Active since June 02, 2020PECOS Enrolled
1645 W JACKSON BLVD STE 200, CHICAGO, IL 60612(312) 942-2200 Get Directions Write a Review

NPPES record last updated: June 12, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 12, 2020, Jun 2, 2020 (2 updates tracked since 2020).

About Dr. Genesis Talia Mancha Md NPPES

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

DR. GENESIS TALIA MANCHA MD (NPI 1750905097) is an individual pediatrics provider in Chicago, Illinois, licensed in Illinois (125.077066) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750905097
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. GENESIS TALIA MANCHACredential: MD
Location Address1645 W JACKSON BLVD STE 200Chicago, IL 60612-3227
Mailing Address1645 W Jackson Blvd Ste 200Chicago, IL 60612-3227 · (312) 942-2200
Phone(312) 942-2200
Sole ProprietorNo
Enumeration DateJune 2, 2020
Last NPPES UpdateJune 12, 20202 updates tracked since enumeration
NPPES CertifiedJune 12, 2020
✔ NPI 1750905097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 125.077066
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1645 W JACKSON BLVD STE 200, Chicago, IL 60612
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Genesis Talia Mancha Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Genesis Mancha reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Board Of Trustees Fo The University Of Illinois
0.4 mi
Oral and Maxillofacial Surgery
811 S PAULINA ST # MC588
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: The Board Of Trustees Of The University Of Illinois
  • 2,127 clinicians in this Medicare group
NPI 1326483991 (312) 996-7546
Loyola Medical Group LLC
7.1 mi
General Practice
3249 OAK PARK AVE
Berwyn, IL 60402
  • Reassigned Medicare billing, Illinois enrollment
  • 211 clinicians in this Medicare group
NPI 1376041954 (708) 783-3125

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $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.

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.

AMANDA SLUTSKY
Student in an Organized Health Care Education/Training Program
1645 W JACKSON BLVD STE 200
CHICAGO, IL 60612
Cook County (312) 942-2200
NALA AL-KHATIB MD
Pediatrics
1645 W JACKSON BLVD STE 200
CHICAGO, IL 60612
Cook County (312) 942-2200
DR. JAMIE MARA MD
Pediatrics
1645 W JACKSON BLVD STE 200
CHICAGO, IL 60612
Cook County (312) 942-2200
VIRGINIA KATHERINE KRECKMAN MD
Pediatrics
1645 W JACKSON BLVD STE 200
CHICAGO, IL 60612
Cook County (312) 942-2200
DR. MONICA ROSE FEHRENBACH MD
Pediatrics
1645 W JACKSON BLVD STE 200
CHICAGO, IL 60612
Cook County (312) 942-2200
DR. ANYA N BHAGWAKAR DO
Pediatrics
1645 W JACKSON BLVD STE 200
CHICAGO, IL 60612
Cook County (312) 942-2200
DR. SHRUTI PATTEKAR DO
Pediatrics
1645 W JACKSON BLVD STE 200
CHICAGO, IL 60612
Cook County (312) 942-2200
TAMASYN NELSON AKSOY D.O.
Pediatrics
1645 W JACKSON BLVD STE 200
CHICAGO, IL 60612
Cook County (312) 942-3034

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 Genesis Mancha's NPI number?

The NPI number for Genesis Mancha is 1750905097. It was assigned to this individual provider in the NPPES registry on June 2, 2020.

Where is Genesis Mancha located?

Genesis Mancha practices at 1645 W Jackson Blvd Ste 200, Chicago, IL 60612. The listed phone number is (312) 942-2200.

What is Genesis Mancha's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Genesis Mancha enrolled in Medicare?

Yes. Genesis Mancha is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Genesis Mancha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Genesis Mancha reassigns Medicare benefits to 2 organizations: Board Of Trustees Fo The University Of Illinois (Chicago, IL) and Loyola Medical Group LLC (Berwyn, IL). 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 Genesis Mancha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Genesis Mancha accept?

Health plans from Oscar Health list Genesis Mancha 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.

When was this NPI record last updated?

The NPPES record for Genesis Mancha was last updated on June 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.