IndividualActive
Avinash Mantha, MD
NPI 1275952731 · Family Medicine Physician · Blue Island, IL
Provider details
- NPI number
- 1275952731
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3046 127th St
Blue Island, IL 60406-1827
Phone: (708) 377-7920
Fax: (708) 930-0414
Approximate (ZIP-level) locationGet directions
Mailing address
3046 127th St
Blue Island, IL 60406-1827
Additional practice locations (1)
- 40 Arch StJohnson City, NY 13790-2102Phone: (607) 763-6075Fax: (607) 763-5234
Registry dates
- Enumerated
- 2014-04-14
- Last updated
- 2018-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.