Individual provider Active NPI

Dave Mante, M.D.

  • Internal Medicine Physician
  • Aurora, IL
National Provider Identifier
1487701082
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036085384 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
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036085384 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
001630376OtherBLUE 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
I20110204000318 IL Practitioner - Internal Medicine 4385824556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
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

  • Copley Memorial Hospital Hospital, Aurora, IL, CCN 140029
  • Presence Mercy Medical Center Hospital, Aurora, IL, CCN 140174
  • Northwestern Medicine Delnor Community Hospital Hospital, Geneva, IL, CCN 140211

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care West, S.C. Internal Medicine Current Accepting new patients
Primary Care West, S.C. CurrentSince May 1, 2002 Accepting new patients

Locations

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

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

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 and National Provider Directory roles.

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": "1410825600000",
    "number": "1487701082",
    "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": "DAVE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036085384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "001630376",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.