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

Kalyan Mantha, MD

Individual provider Pediatrics Physician · NPI 1124232822

Kalyan Mantha, MD is an Emergency Medicine in Jacksonville, Florida. Qualified in 2003, 23 years ago. Practices with Paragon Emergency Services LLC, a 406-clinician group and accepts Medicare assignment. Licensed in Florida and Michigan.

Years since qualifying
23
Licensed in
FL, MI
In the registry since
2007
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

1 Shircliff Way
Jacksonville, FL 32204-4748
Phone: (904) 308-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence ME122523 (FL)
Pediatrics Physician Taxonomy 208000000X · Licence 4301086369 (MI)

Record details

NPI number1124232822
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 10, 2007
Last updated in NPPESOctober 19, 2015
Mailing address1 Shircliff Way, Jacksonville, FL 32204-4748

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Paragon Emergency Services Llc — 406 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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