JYOTHI MANDAVA (M.D.) – Psychiatry Physician, NPI 1891809539

JYOTHI MANDAVA (M.D.) is a healthcare provider. based in Chesterfield, Missouri. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 2002002075 (MO). The NPI Number for JYOTHI MANDAVA (M.D.) is 1891809539

Main info

Female
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
JYOTHI MANDAVA (M.D.)
NPI
1891809539
Phone
(636) 778-1195
Address
16091 SWINGLEY RIDGE RD STE 100
Enumeration Date
19 August 2006
Last Update Date
16 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8559404867
Graduation Year
1996 (30 years ago)
PAC ID
4284631672
Group Practice PAC ID
4284985417
Professional Enrollment ID
I20061027000015
Address ID
MO630172056CH16091RDXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

819 PSYCHIATRY in MO

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Provider Addresses for JYOTHI MANDAVA (M.D.)

  • Swingley Ridge Road, Chesterfield, Saint Louis County, Missouri, 63017, United States

    CHESTERFIELD, MO 630172056

    Phone: (636) 778-1195

    Fax: (636) 898-1019

    Type: Location

  • 16091 SWINGLEY RIDGE RD STE 100

    CHESTERFIELD, MO 630172056

    Phone: (636) 778-1195

    Fax: (636) 898-1019

    Type: Mailing

  • Mandava Psychiatry, 16091, Swingley Ridge Road, Chesterfield, Saint Louis County, Missouri, 63017, United States

    SUITE 100

    CHESTERFIELD, MO 63017

    Phone: (636) 778-1195

    Fax: (636) 898-1019

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 118 Open Payments records for all available years, with a total value of $2,078.

Total Amount is formed as General ($2,078) + Research ($0) + Ownership ($0) = $2,078.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Neos Therapeutics, LP ($267).

Total Amount

$2,078

General + Research + Ownership

Payments

118

Total payment records

General Amount

$2,078

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

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: 2006-10-27

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
I20061027000015IPsychiatryMOTBD

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
G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or46011$0
90868Treatment using magnetic field to stimulate nerve cells in brain, subsequent delivery and management40726$0
99214Established patient office or other outpatient visit, 30-39 minutes31668$0
99213Established patient office or other outpatient visit, 20-29 minutes20977$0
99215Established patient office or other outpatient visit, 40-54 minutes11511$0
View full utilization report →

Insurance plans in this area (ZIP 63017)

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Provider's Procedures

JYOTHI MANDAVA (M.D.) performs procedures in PSYCHIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYMO90792Psychiatric diagnostic evaluation with medical services1818
PSYCHIATRYMO90833Psychotherapy, 30 minutes with patient and/or family member5332

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: 4284985417View full group profile
NameSpecialtyState
Undefined Non Physician Type (Specify)FL
Psychiatry, Geriatric PsychiatryMO
Nurse PractitionerMO
P S Y C H I A T R YMO
-MO
P S Y C H I A T R YMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

How is JYOTHI MANDAVA (M.D.) identified in CMS data?
CMS-hosted NPPES data lists JYOTHI MANDAVA (M.D.) with NPI 1891809539.
Does CMS list JYOTHI MANDAVA (M.D.) as active?
Yes — JYOTHI MANDAVA (M.D.) is active in the NPI listing used on this page.
What taxonomy line describes JYOTHI MANDAVA (M.D.)?
For research purposes, treat JYOTHI MANDAVA (M.D.) as Psychiatry Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is JYOTHI MANDAVA (M.D.) based?
JYOTHI MANDAVA (M.D.) is tied to Chesterfield, Missouri in the data we show; additional addresses may exist on the full record.
Is the information about JYOTHI MANDAVA (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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