Aria Mansoori, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

POD001545 Issued in GA

Practice address

3655 Howell Ferry Rd Ste 100
Duluth, GA 30096-3186

Phone

(770) 497-8283

Fax

(770) 497-8285

NPI assigned

Apr 7, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Southeast Permanente Medical GroupGroup PAC ID 6204829013, 823 clinicians

Village Podiatry Group LLCGroup PAC ID 4587646971, 51 clinicians

Village Podiatry Group II LLCGroup PAC ID 7719218437, 70 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aria.mansoori.1@4399.direct.athenahealth.com

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.

• The Southeast Permanente Medical Group

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1245266956
  Medicare reassignment Care Compare group NPD
• Village Podiatry Group II, LLC.

  • Foot & Ankle Surgery Podiatrist
  • Atlanta, GA
  • NPI 1427540699
  Medicare reassignment Care Compare group NPD
• Village Podiatry Group, L.L.C.

  • Podiatrist
  • Roswell, GA
  • NPI 1508846718
  Medicare reassignment Care Compare group NPD
• Village Podiatry Group II, LLC.

  • Podiatrist
  • Royston, GA
  • NPI 1659918969
  NPD
• Village Podiatry Group LLC

  • Foot & Ankle Surgery Podiatrist
  • Covington, GA
  • NPI 1942036314
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1154950509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 CHARLOTTE AVE STE F185",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372094066",
            "telephone_number": "615-612-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 HOWELL FERRY RD STE 100",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963186",
            "telephone_number": "770-497-8283",
            "fax_number": "770-497-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSOORI",
        "first_name": "ARIA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-07",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jyoti Manekar, M.D.
• Mariesa Manente
• Manna Scholarship Fund Inc
• Manna Treatment Center, LLC
• Manna Treatment LLC
• Kristina Marie Marcinowski, PT, DPT
• Sierra Marcus, MA
• Mark L Shefrin DMD PC
• Mark Lynn OD & Associates
• Mark Lynn OD & Associates PC

• Foot & Ankle Surgery Podiatrist in Duluth, GA
• Providers in Duluth, GA by specialty
• Foot & Ankle Surgery Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.

Verify at the official NPI Registry.