Individual provider Active NPI

Phillip Boyd Mann Jr., DO

  • Urology Physician
  • Kansas City, MO
National Provider Identifier
1215425871
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
2023025695 Issued in MO
Practice address
1000 Carondelet Dr Ste 100
Kansas City, MO 64114-4673
Phone
(816) 942-4500
NPI assigned
Apr 28, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 2023025695 MO Primary
Specialist 174400000X 2023025695 MO

Addresses

Primary practice location

1000 Carondelet Dr Ste 100
Kansas City, MO 64114-4673

Mailing address

901 Heartland Rd
Saint Joseph, MO 64506-3460
Phone (832) 325-7280

Other practice location 1

1000 Carondelet Dr
Kansas City, MO 64114-4673
Phone (816) 942-4500

Other practice location 2

901 Heartland Rd Ste 1800
Saint Joseph, MO 64506-6202
Phone (816) 232-8877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, NE, KS3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230810002039 MO Practitioner - Urology 1658733456 Reassigns benefits to 2 organizations
I20250825001917 NE Practitioner - Urology 1658733456 Reassigns benefits to 1 organization
I20251118000905 KS Practitioner - Urology 1658733456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Texas Medical School at Houston, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Urology of St Joseph IncGroup PAC ID 0840224291, 5 clinicians

Practice addresses (Care Compare)

800 Ravenhill Dr
Atchison, KS 66002-9204
Phone (913) 367-6675

8929 Parallel Pkwy
Kansas City, KS 66112-1689
Phone (913) 396-4000

901 Heartland Rd
Saint Joseph, MO 64506-6202
Phone (816) 232-8877

Hospital & facility affiliations

  • Mosaic Life Care at St Joseph Hospital, Saint Joseph, MO, CCN 260006
  • Providence Medical Center Hospital, Kansas City, KS, CCN 170146
  • Community Medical Center, Inc Hospital, Falls City, NE, CCN 281352
  • Liberty Hospital Hospital, Liberty, MO, CCN 260177
  • Mosaic Medical Center - Maryville Hospital, Maryville, MO, CCN 261340

Merit-based Incentive Payment System (MIPS)

Final score
95.04 of 100Reported as group
Quality
90.08
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Prostate resection22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2023025695MOMDSpecialist
2863NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercury Surgery Center LLC CurrentSince Aug 15, 2023 Accepting new patients
Phoenix Urology of St. Joseph, Inc. Specialist CurrentSince Aug 15, 2023 Accepting new patients
La Frontera Center, Inc. Past Accepting new patients

Locations

800 Ravenhill Dr
Atchison, KS 66002
Phone (913) 367-2131

8929 Parallel Pkwy
Ste 270
Kansas City, KS 66112

901 Heartland Rd
#2S
Saint Joseph, MO 64506

901 Heartland Rd
Ste 1820
Saint Joseph, MO 64506
Phone (816) 232-8877

901 Heartland Rd
Ste 1800
Saint Joseph, MO 64506
Phone (816) 232-8877

3307 Bill Schock Blvd
Falls City, NE 68355
Phone (402) 245-2428

Interoperability endpoints

  • Direct secure messaging: phillipmann@phoenixuro.medalliesdirect.net

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1215425871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 HEARTLAND RD",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063460",
            "telephone_number": "832-325-7280",
            "fax_number": "713-512-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CARONDELET DR STE 100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144673",
            "telephone_number": "816-942-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Carondelet Dr",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641144673",
            "country_code": "US",
            "telephone_number": "816-942-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 Heartland Rd Ste 1800",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645066202",
            "country_code": "US",
            "telephone_number": "816-232-8877",
            "fax_number": "816-232-0307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANN",
        "first_name": "PHILLIP",
        "middle_name": "BOYD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-28",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MO",
            "license": "2023025695",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "2023025695",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.