Individual provider Active NPI

Zeina Adli Ahmad Al-Mansour, M.D

  • Hematology (Internal Medicine) Physician
  • Gainesville, FL
National Provider Identifier
1265670822
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology (Internal Medicine) PhysicianTaxonomy code 207RH0000X
License
ME144167 Issued in FL
Practice address
1600 SW Archer Rd
Gainesville, FL 32610-0002
Phone
(352) 273-7832
Fax
(352) 273-6867
NPI assigned
Feb 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 244748 MA
Internal Medicine Physician 207R00000X RS 2008-0608 NM
Hematology & Oncology Physician 207RH0003X 244748 MA
Medical Oncology Physician 207RX0202X ME144167 FL
Hematology (Internal Medicine) Physician 207RH0000X ME144167 FL Primary

Addresses

Primary practice location

1600 SW Archer Rd
Gainesville, FL 32610-0002

Mailing address

PO Box 100278
Gainesville, FL 32610-0278
Phone (352) 273-7832

Other practice location 1

55 Lake Ave N
Worcester, MA 01655-0002
Phone (774) 442-3903

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200326003661 FL Practitioner - Hematology/Oncology 8022311141 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Florida Surgical Associates LLCGroup PAC ID 4082634407, 52 clinicians

Practice addresses (Care Compare)

6400 W Newberry Rd
Suite 101
Gainesville, FL 32605-4383
Phone (352) 331-6161

Hospital & facility affiliations

  • HCA Florida North Florida Hospital Hospital, Gainesville, FL, CCN 100204

Merit-based Incentive Payment System (MIPS)

Final score
47.54 of 100Reported as apm
Quality
38.49
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
244748MAMDInternal Medicine Physician
RS 2008-0608NMMDInternal Medicine Physician
ME144167FLMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Surgical Associates LLC CurrentSince Nov 21, 2024 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Mar 19, 2020 Accepting new patients
Florida Clinical Practice Association Inc Internal Medicine CurrentSince Mar 19, 2020 Accepting new patients

Locations

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1121 NW 64th Ter
Ste B
Gainesville, FL 32605
Phone (352) 331-6777

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

6400 W Newberry Rd
Ste 101
Gainesville, FL 32605
Phone (352) 333-5152

1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

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 1

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": "1233705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1265670822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100278",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100278",
            "telephone_number": "352-273-7832",
            "fax_number": "352-273-6867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100002",
            "telephone_number": "352-273-7832",
            "fax_number": "352-273-6867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Lake Ave N",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016550002",
            "country_code": "US",
            "telephone_number": "774-442-3903",
            "fax_number": "774-443-7890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AL-MANSOUR",
        "first_name": "ZEINA",
        "middle_name": "ADLI AHMAD",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-04",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "244748",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "RS 2008-0608",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MA",
            "license": "244748",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "FL",
            "license": "ME144167",
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "FL",
            "license": "ME144167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.