Active NPI
Iyad Sami Mansour, MD
- Nephrology Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 59192
- Practice address
- 1625 N Campbell Ave
Tucson, AZ 85719-4330 - Phone
- (520) 626-6371
- Fax
- (520) 626-2024
- NPI assigned
- Aug 9, 2013
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | A154593 | CA | |
| Internal Medicine Physician | 207R00000X | A154593 | CA | |
| Nephrology Physician | 207RN0300X | 59192 | AZ | Primary |
Addresses
Primary practice location
1625 N Campbell Ave
Tucson, AZ 85719-4330
Mailing address
1625 N Campbell Ave
Tucson, AZ 85719-4330
Phone (520) 626-6371
Other practice location 1
3838 N Campbell Ave Bldg 2
Tucson, AZ 85719-1454
Phone (520) 694-8888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3838 N Campbell Ave
BLDG 1
Tucson, AZ 85719-1454
Phone (520) 694-2873
Hospital & facility affiliations
- 032514 Desert Dialysis Center (Dci)
- Banner - University Medical Center Tucson Campus
- Banner-University Medical Center South Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59192 | AZ | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner-University Medical Group | Family Medicine | Current | Accepting new patients |
| Banner-University Medical Group | Current | Accepting new patients | |
| Shasta Critical Care Specialists Medical Clinic, Inc. | Nephrology | Current | Accepting new patients |
Locations
3838 N Campbell Ave
Tucson, AZ 85719
Phone (520) 694-2873
535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988
3838 N Campbell Ave
Bldg 1
Tucson, AZ 85719
Phone (520) 694-2873
3838 N Campbell Ave
#2
Tucson, AZ 85719
3838 N Campbell Ave
Bldg 2
Tucson, AZ 85719
1625 N Campbell Ave
Tucson, AZ 85719
2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471
2800 E Ajo Way
Bldg 100
Tucson, AZ 85713
Phone (520) 419-5820
2701 Old Eureka Way
Ste 1E
Redding, CA 96001
Phone (530) 232-3000
2701 Old Eureka Way
Ste 1J
Redding, CA 96001
Phone (530) 232-3000
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.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1508809427
Family Medicine
-
- Critical Care Medicine (Internal Medicine) Physician
- Redding, CA
- NPI 1245249770
Nephrology
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1922820935
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Tucson, AZ
- NPI 1023041407
Dialysis facility
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1558759498
-
- Nutrition Education Nutritionist
- Tucson, AZ
- NPI 1922660182
Hospital
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1265820179
-
- Nutrition Education Nutritionist
- Tucson, AZ
- NPI 1861102881
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772928000000",
"number": "1215360508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 N CAMPBELL AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857194330",
"telephone_number": "520-626-6371",
"fax_number": "520-626-2024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 N CAMPBELL AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857194330",
"telephone_number": "520-626-6371",
"fax_number": "520-626-2024"
}
],
"practiceLocations": [
{
"address_1": "3838 N Campbell Ave Bldg 2",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857191454",
"country_code": "US",
"telephone_number": "520-694-8888",
"fax_number": "520-694-0127",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANSOUR",
"first_name": "IYAD",
"middle_name": "SAMI",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-09",
"last_updated": "2026-03-08",
"certification_date": "2026-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "A154593",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A154593",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "AZ",
"license": "59192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2026; 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.