NPIMap

Individual provider Active NPI

Antonio Mancini, D.O.

  • Urology Physician
  • Orland Park, IL
National Provider Identifier
1629091251
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
036-115425 Issued in IL
Practice address
15234 S Harlem Ave
Orland Park, IL 60462-4330
Phone
(708) 888-8287
Fax
(708) 614-0607
NPI assigned
Jul 25, 2006
Last updated
Apr 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-115425 IL
Urology Physician 208800000X 036-115425 IL Primary

Addresses

Primary practice location

15234 S Harlem Ave
Orland Park, IL 60462-4330

Mailing address

10400 Southwest Hwy
LL
Chicago Ridge, IL 60415-1367
Phone (708) 888-8287

Other identifiers 4

IdentifierTypeStateIssuer
36-115425MedicaidIL
IL3265OtherGROUP PTAN
P00401392OtherMEDICARE RAILROAD
036-115425OtherILMEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address antoniomancini@uropart.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060818000423 IL Practitioner - UrologyPractitioner - General Surgery 8426051129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
UrologyAlso: General Surgery
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Uropartners LLCGroup PAC ID 9436182946, 133 clinicians

Practice addresses (Care Compare)

1003 Pawlak Pkwy
New Lenox, IL 60451-9403
Phone (815) 717-1740

2225 Enterprise Dr
Suite 2511
Westchester, IL 60154-5805
Phone (708) 486-0076

2245 Enterprise Dr
Suite 4506
Westchester, IL 60154-5803

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-115425ILMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uropartners LLC Urology Current Accepting new patients
United Shockwave Services, LTD. CurrentSince Sep 22, 2018 Accepting new patients
United Shockwave Services, LTD. Urology CurrentSince Sep 22, 2018 Accepting new patients
Uropartners LLC Urology CurrentSince Nov 1, 2023 Accepting new patients
Uropartners, LLC Urology CurrentSince Nov 1, 2023 Accepting new patients
Uropartners, LLC Urology Past Accepting new patients
Uropartners, LLC Urology Past Accepting new patients

Locations

10400 Southwest Hwy
Chicago Ridge, IL 60415
Phone (708) 423-8706

801 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 362-2900

1401 Lakewood Dr
Unit 3
Morris, IL 60450
Phone (815) 409-4700

1851 Silver Cross Blvd
Ste 250
New Lenox, IL 60451
Phone (708) 349-6350

15234 S Harlem Ave
Orland Park, IL 60462
Phone (708) 532-6500

450 W State Route 22
South Barrington, IL 60010
Phone (847) 381-0123

6701 159th St
Tinley Park, IL 60477
Phone (708) 429-0222

2225 Enterprise Dr
Ste 2511
Westchester, IL 60154
Phone (708) 486-0076

2245 Enterprise Dr
Ste 4506
Westchester, IL 60154

Organizations & group practices 7

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 8

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1629091251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 SOUTHWEST HWY",
            "address_2": "LL",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604151367",
            "telephone_number": "708-888-8287",
            "fax_number": "708-274-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15234 S HARLEM AVE",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624330",
            "telephone_number": "708-888-8287",
            "fax_number": "708-614-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCINI",
        "first_name": "ANTONIO",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-115425",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036-115425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36-115425",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "IL3265",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00401392",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "036-115425",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "antoniomancini@uropart.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "15234 S Harlem Ave",
            "city": "Orland Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604624330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.