NPIMap

Individual provider Active NPI

Mansur Pathan, D.O

  • Nephrology Physician
  • Ypsilanti, MI
National Provider Identifier
1144615220
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
34.014288 Issued in OH
Practice address
5333 McAuley Dr RM 4003
Ypsilanti, MI 48197-1099
Phone
(734) 712-3470
NPI assigned
Apr 5, 2015
Last updated
Sep 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 34.014288 OH Primary

Addresses

Primary practice location

5333 McAuley Dr RM 4003
Ypsilanti, MI 48197-1099

Mailing address

5333 McAuley Dr RM 4003
Ypsilanti, MI 48197-1099
Phone (734) 712-3470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201001000227 OH Practitioner - NephrologyPractitioner - Hospitalist 4385951995 Reassigns benefits to 1 organization
I20210819001380 MI Practitioner - NephrologyPractitioner - Internal Medicine 4385951995 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nephrology Associates of Michigan PCGroup PAC ID 8729136486, 20 clinicians

Practice addresses (Care Compare)

5333 McAuley Dr
RM 4003
Ypsilanti, MI 48197-1099
Phone (734) 715-1706

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians Internal Medicine CurrentSince Oct 1, 2021 Accepting new patients
Blanchard Valley Regional Health Center Internal Medicine Current Accepting new patients
Promedica Monroe Physicians Internal Medicine CurrentSince Oct 1, 2021 Accepting new patients
Blanchard Valley Regional Health Center CurrentSince Aug 19, 2021 Accepting new patients
Promedica Central Physicians CurrentSince Oct 1, 2021 Accepting new patients
Blanchard Valley Regional Health Center CurrentSince Aug 19, 2021 Accepting new patients
Nephrology Associates of Michigan PC Nephrology CurrentSince Sep 16, 2023 Accepting new patients
Family Rehab Care, Inc. PastSince Oct 1, 2021 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

620 Byron Rd
Ste 1100
Howell, MI 48843
Phone (517) 545-5450

3175 Smith Rd
Lambertville, MI 48144
Phone (734) 856-5494

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

992 S Monroe St
Monroe, MI 48161
Phone (734) 457-4189

5333 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-5300

5333 McAuley Dr
Rm 4003
Ypsilanti, MI 48197
Phone (734) 712-3470

1717 Medical Blvd
Ste B
Findlay, OH 45840
Phone (419) 425-1510

1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500

715 S Taft Ave
Fremont, OH 43420
Phone (419) 332-7321

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mpathan356662@direct.hfhs.org
  • Direct secure messaging: mpathan56801@direct.acumenmd.com

Organizations & group practices 9

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.

Hospital & facility affiliations 7

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": "1428192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1144615220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 MCAULEY DR RM 4003",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971099",
            "telephone_number": "734-712-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 MCAULEY DR RM 4003",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971099",
            "telephone_number": "734-712-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATHAN",
        "first_name": "MANSUR",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-05",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "34.014288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.