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

Esteban Guillermo Mantilla Rodriguez, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1851952089

Esteban Guillermo Mantilla Rodriguez, PHYSICIANASSISTANT is a Physician Assistant in Chevy Chase, Maryland. Qualified in 2018, 8 years ago. Practices with One Medstar Primary Care LLC, a 140-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
8
Licensed in
MD
In the registry since
2019
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Practice location Address checks out

8401 Connecticut Ave Ph Ste
Chevy Chase, MD 20815-5822
Phone: (301) 942-2212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 19735 Germantown Rd Ste 100, Germantown, MD 20874-1225 — (301) 942-2212

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C0007102 (MD)

Record details

NPI number1851952089
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJune 27, 2019
Last updated in NPPESSeptember 24, 2020
Certification dateSeptember 24, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice One Medstar Primary Care Llc — 140 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Chevy Chase