Active NPI
Mansoor Ahmed Sajid, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- ME119814
- Practice address
- 2848 Center Pointe Dr Ste a
Fort Myers, FL 33916-9521 - Phone
- (239) 561-9622
- Fax
- (239) 768-5297
- NPI assigned
- Mar 13, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 6779059-1205 | UT | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | M8309 | TX | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | ME119814 | FL | Primary |
Addresses
Primary practice location
2848 Center Pointe Dr Ste a
Fort Myers, FL 33916-9521
Mailing address
19006 Wildblue Blvd
Fort Myers, FL 33913-8752
Phone (713) 398-0332
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106007100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151110002952 | TX | Practitioner - Pathology | 1658694005 |
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
18181 SW 83Rd CT
Palmetto Bay, FL 33157-6176
P O Box
1017 BPS Managed Care
Greenville, TX 75403-1017
PO Box
Suite 745390
Atlanta, GA 30374-5390
Hospital & facility affiliations
- Medical City Dallas Hospital
- Medical City Fort Worth
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108018 | CA | MD | General Practice Dentistry |
| 6779059-1205 | UT | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Oncology Partners, P.a. | Past | Accepting new patients | |
| Pathologists Biomedical Laboratories PLLC | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| Pathologists Bio-Medical Laboratories PLLC | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Hematology & Oncology Physician
- Surprise, AZ
- NPI 1003642505
-
- Anatomic Pathology & Clinical Pathology Physician
- Dallas, TX
- NPI 1265477707
-
- Anatomic Pathology & Clinical Pathology Physician
- Grapevine, TX
- NPI 1275838179
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1023180502
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1689628984
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1659323772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651536000000",
"number": "1114168689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19006 WILDBLUE BLVD",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339138752",
"telephone_number": "713-398-0332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2848 CENTER POINTE DR STE A",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339169521",
"telephone_number": "239-561-9622",
"fax_number": "239-768-5297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAJID",
"first_name": "MANSOOR",
"middle_name": "AHMED",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-13",
"last_updated": "2022-05-03",
"certification_date": "2022-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "UT",
"license": "6779059-1205",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TX",
"license": "M8309",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "FL",
"license": "ME119814",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106007100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.