NPIMap

Individual provider Active NPI

Ali Mansour

  • Orthopaedic Surgery Physician
  • Wellsville, NY
National Provider Identifier
1003461377
Registry record updated Jul 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
317968 Issued in NY
Practice address
191 N Main St
Wellsville, NY 14895-1150
Phone
(585) 593-1100
NPI assigned
Aug 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 317968 NY
Student in an Organized Health Care Education/Training Program 390200000X TRN29859 FL
Orthopaedic Surgery Physician 207X00000X 317968 NY Primary

Addresses

Primary practice location

191 N Main St
Wellsville, NY 14895-1150

Mailing address

350 Parrish St
Canandaigua, NY 14424-1731
Phone (585) 978-8770

Other practice location 1

7329 Seneca Rd N
Hornell, NY 14843-9684
Phone (607) 385-3740

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address amansour275052@direct.urmc.rochester.edu Direct
Direct Messaging Address amansour275052@direct.urmc.rochester.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220720000574 NY Practitioner - Orthopedic Surgery 4981092780 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St James HospitalGroup PAC ID 0345154480, 130 clinicians

Practice addresses (Care Compare)

191 N Main St
Wellsville, NY 14895-1150
Phone (585) 596-0145

50 E S St
Suite 800
Geneseo, NY 14454-1388
Phone (585) 275-5321

7309 Seneca Rd N
Hornell, NY 14843-9691

7329 Seneca Rd N
Hornell, NY 14843-9684
Phone (607) 247-2200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.2 of 100Reported as group
Quality
60.03
Promoting interoperability
99
Improvement activities
40
Cost
73.33

Merit-based Incentive Payment System (MIPS)

Final score
87.99 of 100Reported as group
Quality
77.37
Promoting interoperability
99
Improvement activities
40
Cost
71.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)28
Melanoma (skin cancer) excision1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
317968NYMDLicensed Practical Nurse
TRN29859FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
University Orthopaedic Associates of Rochester Orthopaedic Surgery CurrentSince Sep 1, 2022 Accepting new patients
Nicholas H. Noyes Memorial Hospital CurrentSince Sep 1, 2022 Accepting new patients
The Memorial Hospital of William F. and Gertrude F. Jones, Inc. CurrentSince Sep 1, 2022 Accepting new patients
The Memorial Hospital of William F. and Gertrude F. Jones, Inc. CurrentSince Sep 1, 2022 Accepting new patients
University Orthopaedic Associates of Rochester CurrentSince Sep 1, 2022 Accepting new patients
St James Hospital CurrentSince Sep 1, 2022 Accepting new patients
Clinical Therapeutics Inc PastSince Aug 1, 2021 Accepting new patients
Hand, Microsurgery and Reconstructive Orthopaedics, LLP Orthopaedic Surgery PastSince Aug 1, 2021 Accepting new patients
St James Mercy Hospital Past Accepting new patients

Locations

350 Parrish St
Canandaigua, NY 14424
Phone (585) 396-6000

73 Buffalo St
Ste 100
Canandaigua, NY 14424

111 Clara Barton St
Dansville, NY 14437
Phone (585) 335-3100

50 E South St
Ste 800
Geneseo, NY 14454
Phone (585) 243-3590

7309 Seneca Rd N
Ste 107
Hornell, NY 14843
Phone (607) 385-3740

7309 Seneca Rd N
Ste 108
Hornell, NY 14843
Phone (607) 385-3790

7329 Seneca Rd N
North Hornell, NY 14843
Phone (607) 247-2200

601 Elmwood Ave
#665
Rochester, NY 14642
Phone (585) 275-5168

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100

Interoperability endpoints

  • Direct secure messaging: amansour275052@direct.urmc.rochester.edu

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689984000000",
    "number": "1003461377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 PARRISH ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241731",
            "telephone_number": "585-978-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 N MAIN ST",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "148951150",
            "telephone_number": "585-593-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7329 Seneca Rd N",
            "address_purpose": "LOCATION",
            "city": "Hornell",
            "state": "NY",
            "postal_code": "148439684",
            "country_code": "US",
            "telephone_number": "607-385-3740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANSOUR",
        "first_name": "ALI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-05",
        "last_updated": "2023-07-22",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NY",
            "license": "317968",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN29859",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "317968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amansour275052@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amansour275052@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wellsville, NY

Sources for this page

Verify at the official NPI Registry.