NPIMap

Individual provider Active NPI

Andrew Mahtani, M.D.

  • Hospitalist Physician
  • Greenville, IL
National Provider Identifier
1659579613
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
2016008067 Issued in MO
Practice address
200 Health Care Dr
Greenville, IL 62246-1154
Phone
(618) 664-1230
NPI assigned
Jul 10, 2007
Last updated
Oct 24, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036126330 IL
Hospitalist Physician 208M00000X 036126330 IL
Hospitalist Physician 208M00000X 2016008067 MO Primary

Addresses

Primary practice location

200 Health Care Dr
Greenville, IL 62246-1154

Mailing address

325 Spring St
Red Bud, IL 62278-1105
Phone (618) 282-5205

Other practice location 1

325 Spring St
Red Bud, IL 62278-1105
Phone (618) 282-5205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO, SC, IN4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20101221000445 IL Practitioner - Family PracticePractitioner - Internal Medicine 4880882687 Reassigns benefits to 2 organizations
I20191115000476 MO Practitioner - HospitalistPractitioner - Internal Medicine 4880882687 Reassigns benefits to 1 organization
I20210512000701 SC Practitioner - Family Practice 4880882687 Reassigns benefits to 1 organization
I20210709002182 IN Practitioner - Hospitalist 4880882687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Saint Anthonys Way
Alton, IL 62002-4568
Phone (618) 465-2571

1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 234-2120

12866 Troxler Ave
Highland, IL 62249-2806
Phone (618) 651-2658

503 N Maple St
Effingham, IL 62401-2006
Phone (217) 342-2121

9515 Holy Cross LN
Breese, IL 62230-3618
Phone (618) 526-4511

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036126330ILMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Illinois SNF LLP CurrentSince Oct 1, 2016 Accepting new patients
Cep America - Illinois SNF, LLP Current Accepting new patients
Vitalen Inpatient Care PC Hospitalist Current Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Oct 31, 2019 Accepting new patients
Cep America - Illinois SNF, LLP CurrentSince Oct 1, 2016 Accepting new patients
Galen Inpatient Physicians PC. Hospitalist CurrentSince Oct 31, 2019 Accepting new patients
Vitalen Inpatient Care, PC Hospitalist CurrentSince Feb 6, 2021 Accepting new patients
Union Hospital Inc. Current Accepting new patients
Cep America-Illinois Hospitalists Hospitalist CurrentSince Sep 1, 2016 Accepting new patients
Cep America-Illinois Hospitalists, LLP Current Accepting new patients
Galen Inpatient Physicians, PC Hospitalist CurrentSince Jul 13, 2021 Accepting new patients
Cep America-Illinois Hospitalists, LLP Hospitalist CurrentSince Sep 1, 2016 Accepting new patients
Family Practice Associates, PC Family Medicine Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1021 W E St
Belleville, IL 62220
Phone (618) 233-2095

4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750

200 Health Care Dr
Greenville, IL 62246
Phone (618) 664-0808

12866 Troxler Ave
Highland, IL 62249
Phone (618) 651-2600

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

2351 Frank Scott Pkwy E
Shiloh, IL 62269
Phone (217) 620-3319

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

1 Saint Francis Dr
Greenville, SC 29601
Phone (864) 225-1000

125 Commonwealth Dr
Greenville, SC 29615
Phone (864) 225-1800

Interoperability endpoints

  • Direct secure messaging: amahtani@unionhealth.cernerdirect.com
  • Direct secure messaging: amahtani1343769@nychhc.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St. Joseph's HospitalHighland, IL, CCN 141336 Hospital Corporate Director May 1, 2026
St. Joseph's Hospital- HighlandHighland, IL, CCN 14Z336 Hospital Corporate Director May 1, 2026
Dover Hospice Il STL Metro, LLCGlen Carbon, IL, CCN 141745 Hospice Contracted Managing Employee Jul 15, 2024

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 10

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": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1659579613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 SPRING ST",
            "city": "RED BUD",
            "state": "IL",
            "postal_code": "622781105",
            "telephone_number": "618-282-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HEALTH CARE DR",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622461154",
            "telephone_number": "618-664-1230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 Spring St",
            "address_purpose": "LOCATION",
            "city": "Red Bud",
            "state": "IL",
            "postal_code": "622781105",
            "country_code": "US",
            "telephone_number": "618-282-5205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHTANI",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036126330",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036126330",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2016008067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, IL

Sources for this page

Verify at the official NPI Registry.