Individual provider Active NPI

Christos E Mandanis, MD

  • Clinical Cardiac Electrophysiology Physician
  • Wichita, KS
National Provider Identifier
1770636854
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
04-33570 Issued in KS
Practice address
925 N Hillside St
Wichita, KS 67214-3219
Phone
(316) 616-3333
Fax
(316) 616-0974
NPI assigned
Jan 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 04-33570 KS
Clinical Cardiac Electrophysiology Physician 207RC0001X 04-33570 KS Primary
Cardiovascular Disease Physician 207RC0000X MD00040025 WA

Addresses

Primary practice location

925 N Hillside St
Wichita, KS 67214-3219

Mailing address

925 N Hillside St
Wichita, KS 67214-3219
Phone (316) 616-3333

Other practice location 1

3600 E Harry St
Wichita, KS 67218-3713
Phone (316) 616-3333

Other practice location 2

550 N Hillside St
Wichita, KS 67214-4910
Phone (316) 616-3333

Other practice location 3

537 S Freeborn St
Marion, KS 66861-1256
Phone (316) 616-3333

Other practice location 4

705 E Randall St
Hesston, KS 67062-8806
Phone (316) 616-3333

Other practice location 5

551 N Hillside St Ste 130
Wichita, KS 67214-4923
Phone (316) 616-3333

Other practice location 6

2610 N Woodlawn Blvd
Wichita, KS 67220-2729
Phone (316) 616-3333

Other practice location 7

641 N Seneca St
Valley Center, KS 67147-8208
Phone (316) 616-3333

Other practice location 8

1300 E 5th Ave
Winfield, KS 67156-2407
Phone (316) 616-3333

Other practice location 9

715 Medical Center Dr Ste 100
Newton, KS 67114-9056
Phone (316) 804-4670

Other practice location 10

14700 W Saint Teresa St Ste 250
Wichita, KS 67235-9626
Phone (316) 616-3333

Other practice location 11

14800 W Saint Teresa St
Wichita, KS 67235-9602
Phone (316) 616-3333

Other practice location 12

551 N Hillside St Ste 310
Wichita, KS 67214-4926
Phone (316) 616-3333

Other practice location 13

1124 W 21st St
Andover, KS 67002-5500
Phone (316) 616-3333

Other practice location 14

929 N Saint Francis Ave
Wichita, KS 67214-3821
Phone (316) 616-3333

Other identifiers 5

IdentifierTypeStateIssuer
200611360CMedicaidKS
8297434MedicaidWA
200611360AMedicaidKS
924575MedicaidAZ
200542020AMedicaidOK

Electronic endpoints 15

TypeEndpointUseAffiliation
Direct Messaging Address cardiovascularcare@protonmail.com
Direct Messaging Address cardiovascularcare@protonmail.com
Direct Messaging Address cardiovascularcare@protonmail.com
Direct Messaging Address cardiovascularcare@protonmail.com
Direct Messaging Address cardiovascularcare@protonmail.com
Direct Messaging Address cardiovascularcare@protonmail.com
Direct Messaging Address cardiovascularcare@protonmail.com
Direct Messaging Address cardiovascularcare@protonmail.com
Direct Messaging Address cardiovascularcare@protonmail.com
Direct Messaging Address cardiovascularcare@protonmail.com
Direct Messaging Address cardiovascularcare@protonmail.com
Direct Messaging Address cardiovascularcare@protonmail.com
Direct Messaging Address cardiovascularcare@protonmail.com
CONNECT URL cardiovascularcare@protonmail.com
Direct Messaging Address cardiovascularcare@protonmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20090615000515 KS Practitioner - Cardiac ElectrophysiologyPractitioner - Other (Physician)Practitioner - Cardiovascular Disease (Cardiology) 9931188992 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Care PAGroup PAC ID 7315963899, 14 clinicians

Practice addresses (Care Compare)

2610 N Woodlawn Blvd
Wichita, KS 67220-2729
Phone (316) 616-3333

3600 E Harry St
Wichita, KS 67218-3713
Phone (316) 616-3333

550 N Hillside St
Wichita, KS 67214-4910
Phone (316) 616-3333

715 Medical Ctr Dr
Suite 100
Newton, KS 67114-9056
Phone (316) 804-4670

925 N Hillside St
Wichita, KS 67214-3219
Phone (316) 616-3333

929 N Saint Francis Ave
Wichita, KS 67214-3821
Phone (316) 616-3333

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00040025WAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Via Christi Hospitals Wichita Inc. CurrentSince Sep 1, 2014 Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. CurrentSince Sep 1, 2014 Accepting new patients
Cardiovascular Care, P.a. Cardiovascular Disease CurrentSince Sep 20, 2018 Accepting new patients
Riverbend Medical Group, Inc Past Accepting new patients
Mwa, PC Past Accepting new patients
Pawnee Valley Community Hospital Inc Past Accepting new patients
Hampden County Cardiovascular Cardiovascular Disease PastSince Jun 1, 2014 Accepting new patients
Heartland Cardiology, PA Cardiovascular Disease Past Accepting new patients

Locations

1124 W 21st St
Andover, KS 67002
Phone (316) 300-4000

705 E Randall St
Hesston, KS 67062
Phone (620) 327-2440

537 S Freeborn St
Marion, KS 66861
Phone (620) 382-2033

715 Medical Center Dr
Ste 100
Newton, KS 67114
Phone (316) 804-4670

641 N Seneca St
Valley Center, KS 67147
Phone (316) 755-1511

3600 E Harry St
Wichita, KS 67218
Phone (316) 268-5426

2610 N Woodlawn Blvd
Wichita, KS 67220
Phone (316) 684-3838

550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

14700 W Saint Teresa St
Ste 250
Wichita, KS 67235

1100 N Saint Francis Ave
Fl 4
Wichita, KS 67214
Phone (316) 268-8080

14800 W Saint Teresa St
Wichita, KS 67235
Phone (316) 268-6976

3161 N Webb Rd
Ste 220
Wichita, KS 67226
Phone (316) 402-0440

925 N Hillside St
Wichita, KS 67214
Phone (316) 689-4203

551 N Hillside St
Ste 310
Wichita, KS 67214
Phone (316) 962-7004

1300 E 5th Ave
Winfield, KS 67156
Phone (620) 221-2300

Interoperability endpoints

  • Direct secure messaging: christos.mandanis@hca3.eclinicaldirectplus.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/GCHGAA
  • FHIR API: https://api.platform.athenahealth.com/20807/brand/4/csg/1/fhir/r4
  • Direct secure messaging: christos.mandanismd.p1@direct.dafvmed.nextgenshare.com

Organizations & group practices 9

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": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1770636854",
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            "country_name": "United States",
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            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143219",
            "telephone_number": "316-616-3333",
            "fax_number": "316-616-0974"
        },
        {
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        }
    ],
    "practiceLocations": [
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            "country_name": "United States",
            "address_type": "DOM"
        },
        {
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        {
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            "country_code": "US",
            "telephone_number": "316-616-3333",
            "fax_number": "316-616-0974",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 E Randall St",
            "address_purpose": "LOCATION",
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            "country_code": "US",
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            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "551 N Hillside St Ste 130",
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            "postal_code": "672144923",
            "country_code": "US",
            "telephone_number": "316-616-3333",
            "fax_number": "316-616-0974",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2610 N Woodlawn Blvd",
            "address_purpose": "LOCATION",
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            "state": "KS",
            "postal_code": "672202729",
            "country_code": "US",
            "telephone_number": "316-616-3333",
            "fax_number": "316-616-0974",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "641 N Seneca St",
            "address_purpose": "LOCATION",
            "city": "Valley Center",
            "state": "KS",
            "postal_code": "671478208",
            "country_code": "US",
            "telephone_number": "316-616-3333",
            "fax_number": "316-616-0974",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 E 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "KS",
            "postal_code": "671562407",
            "country_code": "US",
            "telephone_number": "316-616-3333",
            "fax_number": "316-333-0974",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "715 Medical Center Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "KS",
            "postal_code": "671149056",
            "country_code": "US",
            "telephone_number": "316-804-4670",
            "fax_number": "316-804-4674",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14700 W Saint Teresa St Ste 250",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672359626",
            "country_code": "US",
            "telephone_number": "316-616-3333",
            "fax_number": "316-616-0974",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14800 W Saint Teresa St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672359602",
            "country_code": "US",
            "telephone_number": "316-616-3333",
            "fax_number": "316-616-0974",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "551 N Hillside St Ste 310",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672144926",
            "country_code": "US",
            "telephone_number": "316-616-3333",
            "fax_number": "316-616-0974",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1124 W 21st St",
            "address_purpose": "LOCATION",
            "city": "Andover",
            "state": "KS",
            "postal_code": "670025500",
            "country_code": "US",
            "telephone_number": "316-616-3333",
            "fax_number": "316-616-0974",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "929 N Saint Francis Ave",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672143821",
            "country_code": "US",
            "telephone_number": "316-616-3333",
            "fax_number": "316-616-0974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANDANIS",
        "first_name": "CHRISTOS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KS",
            "license": "04-33570",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "KS",
            "license": "04-33570",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "MD00040025",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200611360C",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8297434",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200611360A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "924575",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200542020A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cardiovascularcare@protonmail.com",
            "affiliation": "N",
            "address_1": "537 S Freeborn St",
            "city": "Marion",
            "state": "KS",
            "country_code": "US",
            "postal_code": "668611256",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cardiovascularcare@protonmail.com",
            "affiliation": "N",
            "address_1": "705 E Randall St",
            "city": "Hesston",
            "state": "KS",
            "country_code": "US",
            "postal_code": "670628806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cardiovascularcare@protonmail.com",
            "affiliation": "N",
            "address_1": "641 N Seneca St",
            "city": "Valley Center",
            "state": "KS",
            "country_code": "US",
            "postal_code": "671478208",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cardiovascularcare@protonmail.com",
            "affiliation": "N",
            "address_1": "2610 N Woodlawn Blvd",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672202729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cardiovascularcare@protonmail.com",
            "affiliation": "N",
            "address_1": "551 N Hillside St Ste 130",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672144923",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cardiovascularcare@protonmail.com",
            "affiliation": "N",
            "address_1": "550 N Hillside St",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672144910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cardiovascularcare@protonmail.com",
            "affiliation": "N",
            "address_1": "1300 E 5th Ave",
            "city": "Winfield",
            "state": "KS",
            "country_code": "US",
            "postal_code": "671562407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cardiovascularcare@protonmail.com",
            "affiliation": "N",
            "address_1": "3600 E Harry St",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672183713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cardiovascularcare@protonmail.com",
            "affiliation": "N",
            "address_1": "1124 W 21st St",
            "city": "Andover",
            "state": "KS",
            "country_code": "US",
            "postal_code": "670025500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cardiovascularcare@protonmail.com",
            "affiliation": "N",
            "address_1": "925 N Hillside St",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672143219",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cardiovascularcare@protonmail.com",
            "affiliation": "N",
            "address_1": "715 Medical Center Dr Ste 100",
            "city": "Newton",
            "state": "KS",
            "country_code": "US",
            "postal_code": "671149056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cardiovascularcare@protonmail.com",
            "affiliation": "N",
            "address_1": "14700 W Saint Teresa St Ste 250",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672359626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cardiovascularcare@protonmail.com",
            "affiliation": "N",
            "address_1": "14800 W Saint Teresa St",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672359602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cardiovascularcare@protonmail.com",
            "affiliation": "N",
            "address_1": "929 N Saint Francis Ave",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672143821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cardiovascularcare@protonmail.com",
            "affiliation": "N",
            "address_1": "551 N Hillside St Ste 310",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672144926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.