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

Q: 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.

Q: What is Genesis Mancha's specialty?

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

Q: When was this NPI record last updated?

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

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: July 26, 2026.

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

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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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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.