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

Manish Mandava, MD

Individual provider Internal Medicine Physician · NPI 1639817075

Manish Mandava, MD is an Internal Medicine in Kansas City, Missouri. Graduated from Southern Illinois University School of Medicine in 2022, 4 years ago. Practices with Prime Healthcare Kansas City - Physician Services LLC, a 71-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
4
Trained at
Southern Illinois University School of Medicine
Licensed in
IL, MO
In the registry since
2022
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

1004 Carondelet Dr Ste 300
Kansas City, MO 64114-4858
Phone: (816) 943-4700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 800 E Carpenter St Box 43, Springfield, IL 62769-0001 — (217) 545-8000
  • 201 Nw R D Mize Rd, Blue Springs, MO 64014-2513 — (816) 228-5900
  • 1000 Carondelet Dr, Kansas City, MO 64114-4673 — (816) 942-4400
  • 1000 Carondelet Dr # 100, Kansas City, MO 64114-4673 — (816) 943-4700

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 2025026134 (MO)
Internal Medicine Physician Taxonomy 207R00000X · Licence 125079921 (IL)

Record details

NPI number1639817075
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 25, 2022
Last updated in NPPESMay 7, 2026
Certification dateMay 7, 2026

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Prime Healthcare Kansas City - Physician Services Llc — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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