Manish Mandava, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2025026134 Issued in MO

Practice address

1004 Carondelet Dr Ste 300
Kansas City, MO 64114-4858

Phone

(816) 943-4700

NPI assigned

May 25, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Internal Medicine

Education

Southern Illinois University School of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prime Healthcare Kansas City - Physician Services LLCGroup PAC ID 7315267325, 71 clinicians

Pandc Healthcare LLCGroup PAC ID 3779861109, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joseph Medical Center Hospital, Kansas City, MO, CCN 260085
• Centerpoint Medical Center Hospital, Independence, MO, CCN 260095
• Bates County Memorial Hospital Hospital, Butler, MO, CCN 260034
• Cass Regional Medical Center Hospital, Harrisonville, MO, CCN 261324

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: manishmandava@siusm.allscriptsdirect.net

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.

• Prime Healthcare Kansas City - Physician Services LLC

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1427449487

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• P&C Healthcare LLC

  • Hospitalist Physician
  • Independence, MO
  • NPI 1124575923
  Medicare reassignment Care Compare group
• Board of Trustees of Southern Illinois University

  • Rural Health Clinic/Center
  • Carbondale, IL
  • NPI 1215978127
  NPD
• Carondelet Physician Services, Inc.

  • Family Medicine Physician
  • Grain Valley, MO
  • NPI 1699040006
  NPD (past)
• Prime Healthcare Services - Kansas City, LLC

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1528463080
  NPD (past)

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

• Bates County Memorial Hospital

  • General Acute Care Hospital
  • Butler, MO
  • NPI 1770536740
  Care Compare affiliation
• Bates County Memorial Hospital Ambulance

  • Land Ambulance
  • Butler, MO
  • NPI 1356448740

  Hospital

  Care Compare affiliation
• Cass Regional Medical Center

  • Critical Access Hospital
  • Harrisonville, MO
  • NPI 1477535326
  Care Compare affiliation
• Centerpoint Medical Center of Independence, LLC

  • General Acute Care Hospital
  • Independence, MO
  • NPI 1942247044
  Care Compare affiliation
• Prime Healthcare Services - Kansas City, LLC

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1528463080
  Care Compare affiliation

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1639817075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 CARONDELET DR STE 300",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144858",
            "telephone_number": "816-943-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 CARONDELET DR STE 300",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144858",
            "telephone_number": "816-943-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Carondelet Dr",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641144673",
            "country_code": "US",
            "telephone_number": "816-942-4400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 NW R D Mize Rd",
            "address_purpose": "LOCATION",
            "city": "Blue Springs",
            "state": "MO",
            "postal_code": "640142513",
            "country_code": "US",
            "telephone_number": "816-228-5900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Carondelet Dr # 100",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641144673",
            "country_code": "US",
            "telephone_number": "816-943-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 E Carpenter St Box 43",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627690001",
            "country_code": "US",
            "telephone_number": "217-545-8000",
            "fax_number": "217-545-4735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANDAVA",
        "first_name": "MANISH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-25",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125079921",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2025026134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald M Mancuso, M.D.
• Savitri Manda, M.D.
• Annamarie Mandacina, RN ANP-BC
• John Anthony Mandacina II, DPT
• Paige Mandas, PHD
• Mark Alon Mandelbaum, MD
• Fanny Margaret Mandelberger, OTR/L
• Abbey Manfucci, PHARM.D.
• Justice Manganda
• Rita A Mangold, RN

• Internal Medicine Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.

Verify at the official NPI Registry.