DR. GARY MARC MANTELL D.P.M. NPI 1750305892

NPI Information

  • NPI: 1750305892
  • Provider Name: DR. GARY MARC MANTELL, D.P.M.
  • Classification: Podiatrist - 213EP1101X
  • Specialization: Primary Podiatric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5180 PARK AVE STE 220
    MEMPHIS, TN
    ZIP 38119
  • Phone: (901) 682-4668

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NPI Details

DR. Gary Marc Mantell, D.P.M. is a primary podiatric medicine podiatrist in Memphis, TN with 42 years of experience. DR. Gary Marc Mantell, D.P.M. NPI is 1750305892. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduation Year:1984

The provider's business location address is:

5180 PARK AVE STE 220
MEMPHIS, TN
ZIP 38119-530
Phone: (901) 682-4668
Fax: (901) 683-2963

The NPI 1750305892 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Injection into tendon or ligament (HCPCS:20550)
  • X-ray of foot, 2 views (HCPCS:73620)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • Removal (less than 1.5 centimeters) tissue growth beneath the skin of foot or toe (HCPCS:28043)
  • Injection of anesthetic agent and/or steroid into other nerve or branch (HCPCS:64450)
  • Biopsy of fingernail or toenail (HCPCS:11755)

The enumeration date for this NPI number is 7/26/2006 and was last updated on 11/21/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0131XPodiatristFoot SurgeryDPM283TENNESSEENo
2213EP1101XPodiatristPrimary Podiatric MedicineDPM283TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1T61097MEDICARE UPINTENNESSEE
23351206MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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