Active NPI
Moneer M Mansour, MD
- Family Medicine Physician
- Largo, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME0056911
- Practice address
- 8787 Bryan Dairy Rd
Ste 330
Largo, FL 33777-1260 - Phone
- (727) 391-8009
- Fax
- (727) 391-5182
- NPI assigned
- Dec 8, 2005
- Last updated
- Dec 28, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME0056911 | FL | Primary |
Addresses
Primary practice location
8787 Bryan Dairy Rd
Ste 330
Largo, FL 33777-1260
Mailing address
8787 Bryan Dairy Rd
Ste 330
Largo, FL 33777-1260
Phone (727) 391-8009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1173 Turner St
Clearwater, FL 33756-4135
Phone 7272988496210
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0056911 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Hospitalists of Pinella | Current | Accepting new patients | |
| Elias Kanaan MD PA | Current | Accepting new patients | |
| Chandra, Gayden, Patel and Associates | Past | Accepting new patients |
Locations
1173 Turner St
Clearwater, FL 33756
Phone (727) 298-8496
Networks
- Optimum HealthCare HMO Network
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ADDJAA
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Clearwater, FL
- NPI 1215910260
-
- Internal Medicine Physician
- Clearwater, FL
- NPI 1538177928
-
- Internal Medicine Physician
- Melbourne, FL
- NPI 1639238793
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Morton Plant Hospital
- General Acute Care Hospital
- Clearwater, FL
- NPI 1376529743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261958400000",
"number": "1144205543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8787 BRYAN DAIRY RD",
"address_2": "STE 330",
"city": "LARGO",
"state": "FL",
"postal_code": "337771260",
"telephone_number": "727-391-8009",
"fax_number": "727-391-5182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8787 BRYAN DAIRY RD",
"address_2": "STE 330",
"city": "LARGO",
"state": "FL",
"postal_code": "337771260",
"telephone_number": "727-391-8009",
"fax_number": "727-391-5182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANSOUR",
"first_name": "MONEER",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-08",
"last_updated": "2009-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME0056911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; 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.