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TINA YUN MANTANONA MD
NPI 1922362623
Family Medicine in Grayslake, IL

Active since June 27, 2012PECOS Enrolled
1475 E BELVIDERE RD UNIT 385, GRAYSLAKE, IL 60030(847) 537-7157 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Oct 30, 2020 (2 updates tracked since 2020).

About Tina Yun Mantanona Md NPPES

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

TINA YUN MANTANONA MD (NPI 1922362623) is an individual family medicine provider in Grayslake, Illinois, licensed in Illinois (036144032) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922362623
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTINA YUN MANTANONACredential: MD
Location Address1475 E BELVIDERE RD UNIT 385Grayslake, IL 60030-2026
Mailing Address1475 E Belvidere Rd Unit 385Grayslake, IL 60030-2026 · (847) 537-7157
Phone(847) 537-7157
Sole ProprietorNo
Enumeration DateJune 27, 2012
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPPES CertifiedOctober 30, 2020
✔ NPI 1922362623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IL · 036144032✔ Licensed in CA · A129087
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1475 E BELVIDERE RD UNIT 385, Grayslake, IL 60030
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Other Identifiers 1

Medicaid1922362623IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tina Yun Mantanona 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 Reassignment

Medicare enrollment records show Tina Mantanona reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Swedish Covenant Management Services, Inc
30 mi
Emergency Medicine
5140 N CALIFORNIA AVE
Chicago, IL 60625
  • Reassigned Medicare billing, Illinois enrollment
  • 350 clinicians in this Medicare group
NPI 1962049551 (847) 570-2040

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 60030 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

RICHARD R. CLARK M.D.
Family Medicine
1475 E BELVIDERE RD UNIT 385
GRAYSLAKE, IL 60030
Lake County (847) 535-8000
OSCAR CASTRO MD
Family Medicine
1475 E BELVIDERE RD UNIT 385
GRAYSLAKE, IL 60030
Lake County (847) 535-7157
GRACIA GILREATH
Student in an Organized Health Care Education/Training Program
1475 E BELVIDERE RD UNIT 385
GRAYSLAKE, IL 60030
Lake County (847) 535-7157
ALAIN PIERRE-LOUIS MD, MA
Family Medicine
1475 E BELVIDERE RD UNIT 385
GRAYSLAKE, IL 60030
Lake County (847) 535-7157
GIAN CARLOS VILLAGOMEZ
Student in an Organized Health Care Education/Training Program
1475 E BELVIDERE RD UNIT 385
GRAYSLAKE, IL 60030
Lake County (847) 535-7157
BRIAN SALCEDO DO
Student in an Organized Health Care Education/Training Program
1475 E BELVIDERE RD UNIT 385
GRAYSLAKE, IL 60030
Lake County (847) 535-7157
ALLISON STICKNEY
Student in an Organized Health Care Education/Training Program
1475 E BELVIDERE RD UNIT 385
GRAYSLAKE, IL 60030
Lake County (847) 535-7157
ZAYNAH AHMED
Student in an Organized Health Care Education/Training Program
1475 E BELVIDERE RD UNIT 385
GRAYSLAKE, IL 60030
Lake County (847) 535-7157

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 Tina Mantanona's NPI number?

The NPI number for Tina Mantanona is 1922362623. It was assigned to this individual provider in the NPPES registry on June 27, 2012.

Where is Tina Mantanona located?

Tina Mantanona practices at 1475 E Belvidere Rd Unit 385, Grayslake, IL 60030. The listed phone number is (847) 537-7157.

What is Tina Mantanona's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tina Mantanona enrolled in Medicare?

Yes. Tina Mantanona is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tina Mantanona's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tina Mantanona reassigns Medicare benefits to Swedish Covenant Management Services, Inc (Chicago, IL). The 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 Tina Mantanona's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tina Mantanona was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.