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

Dr. Michael E Mandis, MD

Individual provider Emergency Medicine Physician · NPI 1821065764

Dr. Michael E Mandis, MD is an Internal Medicine in Maryville, Illinois. Qualified in 1990, 36 years ago. Practices with Anderson Medical Group LLC, a 139-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
36
Licensed in
IL
In the registry since
2006
Specialties on file
2
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

2236 Vadalabene Dr Ste 2
Maryville, IL 62062-5844
Phone: (618) 288-6136
Fax: (618) 288-6143
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 036112094 (IL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 036112094 (IL)

Record details

NPI number1821065764
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 28, 2006
Last updated in NPPESMarch 31, 2020
Certification dateMarch 31, 2020
Mailing address6810 State Route 162 Box 215, Maryville, IL 62062-8501

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Anderson Medical Group Llc — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations21 on file with Medicare

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