Individual provider Active NPI

Abeera Mansur, MD

  • Nephrology Physician
  • Garden City, KS
National Provider Identifier
1033541610
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0445141 Issued in KS
Practice address
311 E Spruce St
Garden City, KS 67846-5614
Phone
(620) 275-3139
Fax
(620) 271-3117
NPI assigned
Aug 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD199537 OR
Nephrology Physician 207RN0300X 27287 NE
Nephrology Physician 207RN0300X 0445141 KS Primary

Addresses

Primary practice location

311 E Spruce St
Garden City, KS 67846-5614

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Other practice location 1

Good Samaritan Hospital
10 E, 31st St
Kearney, NE 68847
Phone (308) 293-8446

Other practice location 2

3615 NW Samaritan Dr Ste 203
Corvallis, OR 97330-3771
Phone (541) 768-6930

Other identifiers 1

IdentifierTypeStateIssuer
76MedicaidNE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amansur191023@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131004000379 NE Practitioner - NephrologyPractitioner - Internal Medicine 6709010770 Reassigns benefits to 2 organizations
I20230321000197 NY Practitioner - Nephrology 6709010770 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CHI Health Clinic Specialty LLCGroup PAC ID 4789098443, 317 clinicians
Advanced Kidney Care of Hudson Valley, PCGroup PAC ID 0143493817, 8 clinicians

Practice addresses (Care Compare)

2620 W Faidley Ave
St Francis Medical Center
Grand Island, NE 68803-4205
Phone (308) 384-4600

3219 Central Ave
Suite 200
Kearney, NE 68847-2958
Phone (308) 865-2370

425 Robinson Ave
Suite 1
Newburgh, NY 12550-3303
Phone (845) 454-1399

5210 Parklane Dr
Kearney, NE 68847-8605
Phone (308) 233-5011

8207 Northwoods Dr
Suite 100
Lincoln, NE 68505-2093
Phone (402) 484-3440

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0445141KSMDNephrology Physician
MD199537ORMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation CurrentSince Jun 1, 2021 Accepting new patients
Regional West Physicians Clinic CurrentSince Sep 25, 2021 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Jun 1, 2021 Accepting new patients
CHI Health Clinic Specialty, LLC Nephrology CurrentSince Feb 6, 2021 Accepting new patients
Advanced Kidney Care of Hudson Valley, PC Nephrology CurrentSince Apr 1, 2023 Accepting new patients
New York City Health and Hospitals Corporation Current Accepting new patients
Regional West Physicians Clinic Past Accepting new patients

Locations

2620 W Faidley Ave
Grand Island, NE 68803
Phone (308) 382-6856

3219 Central Ave
Ste 200
Kearney, NE 68847
Phone (308) 865-2263

10 E 31st St
Kearney, NE 68847
Phone (308) 234-5520

8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440

3911 Avenue B
Ste 1100
Scottsbluff, NE 69361
Phone (308) 630-1355

3911 Avenue B
Ste G200
Scottsbluff, NE 69361
Phone (308) 630-1355

594 Albany Ave
Brooklyn, NY 11203
Phone (646) 694-6680

50 Water St
Fl 3
New York, NY 10004

425 Robinson Ave
Ste 1
Newburgh, NY 12550
Phone (845) 454-1399

Networks

  • CO HMO D-SNP
  • CO HMO C-SNP
  • IA HMO
  • CO HMO
  • IA HMO C-SNP
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a

Interoperability endpoints

  • Direct secure messaging: amansur191023@samhealth.direct-ci.com

Organizations & group practices 7

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 8

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": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1033541610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E SPRUCE ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465614",
            "telephone_number": "620-275-3139",
            "fax_number": "620-271-3117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Good Samaritan Hospital",
            "address_2": "10 E, 31st St",
            "address_purpose": "LOCATION",
            "city": "Kearney",
            "state": "NE",
            "postal_code": "68847",
            "country_code": "US",
            "telephone_number": "308-293-8446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3615 NW Samaritan Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973303771",
            "country_code": "US",
            "telephone_number": "541-768-6930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANSUR",
        "first_name": "ABEERA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-06",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OR",
            "license": "MD199537",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NE",
            "license": "27287",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KS",
            "license": "0445141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "76",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amansur191023@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "3615 NW Samaritan Dr Ste 203",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973303771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Garden City, KS

Sources for this page

Verify at the official NPI Registry.