Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1598252835 Individual Practitioner Male Practitioner

Dr. David Rene Mantilla , MD

Surgery - Vascular Surgery • Lees Summit, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. David Mantilla, MD is a certified Surgery - Vascular Surgery practicing in Lees Summit, MO. With approximately 8 years of clinical experience since completing medical education in 2018, Dr. Mantilla delivers high-quality medical care to the local community at 3600 NE RALPH POWELL RD STE D.

Dr. Mantilla maintains professional affiliations with Sage Medical Prof Llc, Vascular And Interventional Radiology Of Siouxland, Shawnee Mission Medical Center Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

3600 Ne Ralph Powell Rd Ste D

Lees Summit, MO 640642369

Telephone 8166750920
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Lees Summit, MO

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -10.3 yrs vs City Avg
City Avg: 18.3 Yrs
State Avg: 29.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Lees Summit, MO (105 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mantilla (8 Years) 8 Yrs
Lees Summit Specialty Average (18.3 Years) 18.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-09-23
Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License KS 04-51707

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Hospital & Practice Group Affiliations

Sage Medical Prof Llc

3600 Ne Ralph Powell Rd, Lees Summit, MO 640642369

Phone: 8166470555

Vascular And Interventional Radiology Of Siouxland

824 W Frontier Ln, Olathe, KS 660617216

Phone: 8166750920

Vascular And Interventional Radiology Of Siouxland

3600 Ne Ralph Powell Rd, Lees Summit, MO 640642369

Phone: 8166750920

Shawnee Mission Medical Center Inc

9100 W 74th St, Merriam, KS 662044004

Phone: 9136762000

Secondary Practice Locations

824 W Frontier Ln

Olathe, KS 660617216

Phone: 8166750920

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Austin Wagner , DO

Surgery - Vascular Surgery

NPI 1285899401

Doctor of Osteopathic Medicine (D.O.)

Letraya Nielsen , FNP-C

Nurse Practitioner - Family

NPI 1477313914

Family Nurse Practitioner (Certified)

NPI 1891386769

Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

Dr. Richard Coats , MD

Surgery - Vascular Surgery

NPI 1972507705

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location September 23, 2025

Registered at 3600 NE RALPH POWELL RD STE D, LEES SUMMIT, MO 640642369 (Tel: 8166750920)

📍
Updated Business Mailing Address September 23, 2025

Registered at 3600 NE RALPH POWELL RD STE D, LEES SUMMIT, MO 640642369 (Tel: 8166750920)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2025

Surgery (License #04-51707 in KS)

NPI Profile Active April 20, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location April 20, 2018

Registered at 2100 SE BLUE PKWY, LEES SUMMIT, MO 640631007 (Tel: 8162825000)

📍
Updated Business Mailing Address April 20, 2018

Registered at 5721 W 119TH ST, OVERLAND PARK, KS 662093722 (Tel: 9134986000)

👤
Provider Name / Credentials Updated April 20, 2018

Recorded as DAVID MANTILLA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 20, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598252835
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 20, 2018
Last Update: September 23, 2025
Sole Proprietor: No

Mailing Address

3600 Ne Ralph Powell Rd Ste D

Lees Summit, MO 640642369

Phone: 8166750920

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.