Active NPI
Mark Mantell, M.D.
- Vascular Surgery Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- MD047966L
- Practice address
- 51 N. 39TH Street
Heart & Vascular Pavilion 4TH Floor
Philadelphia, PA 19104-2640 - Phone
- (215) 662-9551
- Fax
- (215) 243-3225
- NPI assigned
- Dec 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | MD047966L | PA | Primary |
Addresses
Primary practice location
51 N. 39TH Street
Heart & Vascular Pavilion 4TH Floor
Philadelphia, PA 19104-2640
Mailing address
PO Box 416147
Boston, MA 02241-6147
Phone (610) 644-8900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Perelman School of Med at the University of Pennsylvania, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
51 N 39TH St
Philadelphia, PA 19104-2640
Phone (215) 662-9551
Hospital & facility affiliations
- Penn Presbyterian Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.53 of 100
- Quality
- 67.3
- Promoting interoperability
- 87
- Improvement activities
- 40
- Cost
- 25.28
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Access Care of SP LLC | Current | Accepting new patients | |
| American Access Care of Pennsylvania LLC | Current | Accepting new patients | |
| American Access Care of Pennsylvania LLC | Current | Accepting new patients |
Locations
7959 Bustleton Ave
Philadelphia, PA 19152
Phone (215) 742-5662
2412 W Passyunk Ave
Ste 14
Philadelphia, PA 19145
Phone (215) 462-2100
2412 W Passyunk Ave
#14
Philadelphia, PA 19145
Phone (215) 462-2100
51 N 39th St
Fl 4
Philadelphia, PA 19104
Phone (215) 662-9189
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Vascular & Interventional Radiology Physician
- Philadelphia, PA
- NPI 1588639819
-
- Vascular & Interventional Radiology Physician
- Philadelphia, PA
- NPI 1063487627
-
- Ambulatory Surgical Clinic/Center
- Philadelphia, PA
- NPI 1942516430
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1245207521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749772800000",
"number": "1104984046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 416147",
"city": "BOSTON",
"state": "MA",
"postal_code": "022416147",
"telephone_number": "610-644-8900",
"fax_number": "484-924-0053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 N. 39TH STREET",
"address_2": "HEART & VASCULAR PAVILION 4TH FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191042640",
"telephone_number": "215-662-9551",
"fax_number": "215-243-3225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANTELL",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2025-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "PA",
"license": "MD047966L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.