Individual provider Active NPI

Josephine Mante, M.D.

  • Adult Medicine Physician
  • Aurora, IL
National Provider Identifier
1427105022
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
036088055 Issued in IL
Practice address
1300 N Highland Ave
Suite 2
Aurora, IL 60506-1451
Phone
(630) 897-9606
Fax
(630) 897-9625
NPI assigned
Jan 4, 2007
Last updated
Oct 29, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 036088055 IL Primary

Addresses

Primary practice location

1300 N Highland Ave
Suite 2
Aurora, IL 60506-1451

Mailing address

1300 N Highland Ave
Suite 2
Aurora, IL 60506-1451
Phone (630) 897-9606

Other identifiers 1

IdentifierTypeStateIssuer
001630376OtherILBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110204000336 IL Practitioner - Family Practice 2567642739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care West, S.C.Group PAC ID 4981883436, 2 clinicians

Practice addresses (Care Compare)

1300 N Highland Ave
Suite 2
Aurora, IL 60506-1464
Phone (630) 897-9606

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.34 of 100Reported as group
Quality
87.81
Promoting interoperability
100
Improvement activities
40
Cost
10

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036088055ILMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care West, S.C. CurrentSince May 1, 2002 Accepting new patients
Provena Service Corporation Past Accepting new patients

Locations

1300 N Highland Ave
Ste 10
Aurora, IL 60506
Phone (630) 892-7629

1300 N Highland Ave
Ste 2
Aurora, IL 60506
Phone (630) 897-9606

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1427105022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N HIGHLAND AVE",
            "address_2": "SUITE 2",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061451",
            "telephone_number": "630-897-9606",
            "fax_number": "630-897-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N HIGHLAND AVE",
            "address_2": "SUITE 2",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061451",
            "telephone_number": "630-897-9606",
            "fax_number": "630-897-9625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTE",
        "first_name": "JOSEPHINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "IL",
            "license": "036088055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "001630376",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.