Active NPI
Jaleh Mansouri, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Boston, MA
National Provider Identifier
1023055134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 225334
- Practice address
- 330 Brookline Ave
Beth Israel Deaconess Med Ctr
Boston, MA 02215-5400 - Phone
- (617) 632-7243
- NPI assigned
- May 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 225334 | MA | Primary |
Addresses
Primary practice location
330 Brookline Ave
Beth Israel Deaconess Med Ctr
Boston, MA 02215-5400
Mailing address
400 Brookline Ave
Apt. 11 D
Boston, MA 02215-5408
Phone (617) 632-7243
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Alaska Regional Center | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1023055134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 BROOKLINE AVE",
"address_2": "APT. 11 D",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155408",
"telephone_number": "617-632-7243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 BROOKLINE AVE",
"address_2": "BETH ISRAEL DEACONESS MED CTR",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155400",
"telephone_number": "617-632-7243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANSOURI",
"first_name": "JALEH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-31",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MA",
"license": "225334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.