Ehab Mansoor, MD

Primary specialty

Pediatric Sleep Medicine PhysicianTaxonomy code 2080S0012X

License

50715 Issued in TN

Practice address

1025 Childrens Way
Knoxville, TN 37922-7713

Phone

(865) 541-8478

Fax

(865) 769-7959

NPI assigned

Jun 8, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Sleep-Wake Disorder Center of Daytona PA

  • Sleep Medicine (Internal Medicine) Physician
  • Daytona Beach, FL
  • NPI 1699021295

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1023302882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15010",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379015010",
            "telephone_number": "865-541-8187",
            "fax_number": "865-541-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 CHILDRENS WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379227713",
            "telephone_number": "865-541-8478",
            "fax_number": "865-769-7959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSOOR",
        "first_name": "EHAB",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-08",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080S0012X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sleep Medicine",
            "state": "TN",
            "license": "50715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q002399",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Manning, MD
• Rickey D Manning, MD
• Grace Ivy Manore, PT, DPT
• Kristy L. Manresa, LCSW
• Jodie Danielle Manross, L. AC.
• Kathryn Lynn Mantey, FNP-BC
• Charissa Lynn Manuat, MD
• Heath Richard Many, M.D.
• Christy H. Mapes, NP
• Aaron Maples

• Pediatrics Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.