Individual provider Active NPI

Muhammad Ammar Almansour, M.D.

  • Family Medicine Physician
  • Flint, MI
National Provider Identifier
1154300218
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301063474 Issued in MI
Practice address
4071 Richfield Rd
Flint, MI 48506-2008
Phone
(810) 736-2440
NPI assigned
Jan 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301063474 MI Primary

Addresses

Primary practice location

4071 Richfield Rd
Flint, MI 48506-2008

Mailing address

4071 Richfield Rd
Flint, MI 48506-2008
Phone (810) 736-2440

Other identifiers 1

IdentifierTypeStateIssuer
4360667MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080702000446 MI Practitioner - Family PracticePractitioner - General PracticePractitioner - Geriatric Medicine 2264504513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice, Geriatric Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4071 Richfield Rd
Flint, MI 48506-2008
Phone (810) 736-2440

Hospital & facility affiliations

  • Ascension Genesys Hospital Hospital, Grand Blanc, MI, CCN 230197
  • Hurley Medical Center Hospital, Flint, MI, CCN 230132
  • Genesys Regional Medical Ctr Inpatient rehabilitation facility, Grand Blanc, MI, CCN 23T197
  • Hurley Medical Center Inpatient rehabilitation facility, Flint, MI, CCN 23T132

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301063474MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A. Almansour M.D., P.C. Family Medicine CurrentSince Nov 5, 2001 Accepting new patients
Henry Ford Health Genesys Hospital Past Accepting new patients
Hurley Medical Center Past Accepting new patients

Locations

4071 Richfield Rd
Flint, MI 48506
Phone (810) 736-0740

Interoperability endpoints

  • Direct secure messaging: malmansour1159639@direct.hfhs.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/CEGEAD/Endpoint/CEGEAD

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.

Hospital & facility affiliations 4

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": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1154300218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4071 RICHFIELD RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485062008",
            "telephone_number": "810-736-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4071 RICHFIELD RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485062008",
            "telephone_number": "810-736-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALMANSOUR",
        "first_name": "MUHAMMAD",
        "middle_name": "AMMAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301063474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4360667",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.