DR. MICHAEL E MANDIS (MD) – Internal Medicine Physician, NPI 1821065764

DR. MICHAEL E MANDIS (MD) is a healthcare provider. based in Maryville, Illinois. specializing in INTERNAL MEDICINE, EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 036112094 (IL). The NPI Number for DR. MICHAEL E MANDIS (MD) is 1821065764

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL E MANDIS (MD)
NPI
1821065764
Phone
(618) 288-6136
Address
2236 VADALABENE DR
Enumeration Date
28 February 2006
Last Update Date
31 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6183915061
Graduation Year
1990 (36 years ago)
PAC ID
8820047699
Group Practice PAC ID
5193792018
Professional Enrollment ID
I20050119000426
Address ID
IL620625628MA2928XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,824 INTERNAL MEDICINE in IL

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Provider Addresses for DR. MICHAEL E MANDIS (MD)

  • 2236, Vadalabene Drive, Maryville, Madison County, Illinois, 62062, United States

    SUITE 2

    MARYVILLE, IL 620625844

    Phone: (618) 288-6136

    Fax: (618) 288-6143

    Type: Location

  • 6810 STATE ROUTE 162 BOX 215

    MARYVILLE, IL 620628501

    Phone: (618) 391-6405

    Fax: (618) 288-4088

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $41.

Total Amount is formed as General ($41) + Research ($0) + Ownership ($0) = $41.

Last reported payment date: 2024-09-18 • Largest payer in this snapshot: PFIZER INC. ($22).

Total Amount

$41

General + Research + Ownership

Payments

2

Total payment records

General Amount

$41

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$22
ABBVIE INC.$19
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-01-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050119000426IInternal MedicineILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes263110$0
99284Emergency department visit with moderate level of medical decision making7874$0
99285Emergency department visit with high level of medical decision making4847$0
99213Established patient office or other outpatient visit, 20-29 minutes4335$0
99283Emergency department visit with low level of medical decision making2828$0
View full utilization report →

Insurance plans in this area (ZIP 62062)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193792018View full group profile
NameSpecialtyState
Nurse PractitionerIL
-IL
General SurgeryIL
-IL
-IL
O B S T E T R I C S/ G Y N E C O L O G YIL
General SurgeryIL
-IL
Family PracticeMO
Family PracticeIL

Reviews

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Frequently asked questions

Can I cross-check DR. MICHAEL E MANDIS (MD) using NPI 1821065764?
NPI 1821065764 belongs to DR. MICHAEL E MANDIS (MD); compare other details if you need extra assurance.
Is DR. MICHAEL E MANDIS (MD) still an active registrant?
DR. MICHAEL E MANDIS (MD) carries an active NPI according to the public dataset.
What kind of doctor is DR. MICHAEL E MANDIS (MD)?
DR. MICHAEL E MANDIS (MD) is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. MICHAEL E MANDIS (MD) associated with Maryville?
Public fields place DR. MICHAEL E MANDIS (MD) around Maryville, Illinois. Always confirm the exact site before visiting.
Can I trust this NPI listing for DR. MICHAEL E MANDIS (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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