Individual provider Active NPI

Edward M Mantler, M.D.

  • Family Medicine Physician
  • Papillion, NE
National Provider Identifier
1811926041
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20693 Issued in NE
Practice address
555 Fortune Dr
Papillion, NE 68046-3421
Phone
(402) 502-3600
Fax
(402) 502-3606
NPI assigned
Jul 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20693 NE Primary

Addresses

Primary practice location

555 Fortune Dr
Papillion, NE 68046-3421

Mailing address

555 Fortune Dr
Papillion, NE 68046-3421
Phone (402) 502-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20100923000993 NE Practitioner - Family Practice 3274659560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Papillion Family Medicine PCGroup PAC ID 2062486301, 4 clinicians

Practice addresses (Care Compare)

555 Fortune Dr
Papillion, NE 68046-3421
Phone (402) 502-3600

Hospital & facility affiliations

  • Amedisys Home Health of the Midlands Home health agency, Omaha, NE, CCN 287003
  • Hillcrest Home Care Home health agency, Bellevue, NE, CCN 287133
  • CHI Health Midlands Hospital, Papillion, NE, CCN 280105
  • CHI Health Bergan Mercy Hospital, Omaha, NE, CCN 280060
  • Bellevue Medical Center Hospital, Bellevue, NE, CCN 280132
  • The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013
  • CHI Health Lakeside Hospital, Omaha, NE, CCN 280130

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20693NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Papillion Family Medicine P C CurrentSince Jan 1, 2001 Accepting new patients

Locations

555 Fortune Dr
Papillion, NE 68046
Phone (402) 397-7400

Organizations & group practices 1

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 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": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811926041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 FORTUNE DR",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680463421",
            "telephone_number": "402-502-3600",
            "fax_number": "402-502-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 FORTUNE DR",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680463421",
            "telephone_number": "402-502-3600",
            "fax_number": "402-502-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTLER",
        "first_name": "EDWARD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "20693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

Verify at the official NPI Registry.