Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. David Rene Mantilla, MD

Individual provider Vascular Surgery Physician · NPI 1598252835

Dr. David Rene Mantilla, MD is a Vascular Surgery in Lees Summit, Missouri. Qualified in 2018, 8 years ago. Practices with Sage Medical Prof LLC, a 15-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
8
Licensed in
KS
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3600 NE Ralph Powell Rd Ste D
Lees Summit, MO 64064-2369
Phone: (816) 675-0920
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 824 W Frontier Ln, Olathe, KS 66061-7216 — (816) 675-0920

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 04-51707 (KS)

Record details

NPI number1598252835
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 20, 2018
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Sage Medical Prof Llc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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