DR. JESUS ANTONIO MANTECA-ELIAS (M.D.) – Family Medicine Physician, NPI 1821066879
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. JESUS ANTONIO MANTECA-ELIAS (M.D.)
1832, Weeg Way, Park Ridge, Maine Township, Cook County, Illinois, 60068, United States
PARK RIDGE, IL 600681230
Phone: (847) 384-0346
Fax: (847) 384-0543
Type: Mailing
494, Lee Street, Des Plaines, Maine Township, Cook County, Illinois, 60016, United States
DES PLAINES, IL 600164607
Phone: (847) 297-1515
Fax: (847) 297-3390
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $400.
Total Amount is formed as General ($400) + Research ($0) + Ownership ($0) = $400.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($74).
Total Amount
$400
General + Research + Ownership
Payments
19
Total payment records
General Amount
$400
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2003-11-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20031111000246 | I | Family Practice | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 62 | 28 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 60 | 27 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 20 | 16 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 20 | 17 | $0 |
| 82043 | Urine microalbumin (protein) level | 16 | 14 | $0 |
Insurance plans in this area (ZIP 60068)
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