Active NPI
Pierrot Abi Mansour, MD
- Cardiovascular Disease Physician
- Oak Lawn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036-071715
- Practice address
- 10837 S Cicero Ave
Suite 200
Oak Lawn, IL 60453-6458 - Phone
- (708) 636-7575
- Fax
- (708) 636-6193
- NPI assigned
- Aug 25, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 036-071715 | IL | |
| Cardiovascular Disease Physician | 207RC0000X | 036-071715 | IL | Primary |
Addresses
Primary practice location
10837 S Cicero Ave
Suite 200
Oak Lawn, IL 60453-6458
Mailing address
10837 S Cicero Ave Ste 200
Oak Lawn, IL 60453-6459
Phone (708) 636-7575
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CI8250 | Other | IL | PALMETTO GBA GROUP # |
| 036071715 | Medicaid | IL | |
| 21622931 | Other | IL | BCBS GROUP # |
| 060053886 | Other | IL | PALMETTO GBA INDIVIDUAL # |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pabimansour204983@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041112000053 | IL | Practitioner - Cardiovascular Disease (Cardiology) | 3577551241 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Advocate Health and Hospitals Corporation
Practice addresses (Care Compare)
100 W 162ND St
Advocate Med GRP S Holland
South Holland, IL 60473-2003
Phone (708) 730-2200
10837 S Cicero Ave
Suite 300
Oak Lawn, IL 60453-6459
Phone (708) 636-7575
11600 S Kedzie Ave
Merrionette Park, IL 60803-6307
Phone (708) 272-4150
17850 Kedzie Ave
Suite 3500
Hazel Crest, IL 60429-2082
Phone (708) 575-4415
18210 S Lagrange Rd
200 Advocate Med Group
Tinley Park, IL 60487-7725
Phone (708) 479-6636
214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160
4440 W 95TH St
Oak Lawn, IL 60453-2600
9550 W 167TH St
Orland Park, IL 60467-5561
Hospital & facility affiliations
- Advocate Christ Hospital & Medical Center
- Advocate Trinity Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-071715 | IL | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midamerica Cardiovascular Consultants, LTD | Cardiovascular Disease | Past | Accepting new patients |
| Gibson Community Hospital Association | Past | Accepting new patients |
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
- Oak Brook, IL
- NPI 1700824455
IL
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
-
- Cardiovascular Disease Physician
- Oak Lawn, IL
- NPI 1528165768
Cardiovascular Disease
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hazel Crest, IL
- NPI 1467560128
Hospital
-
- General Acute Care Hospital
- Oak Lawn, IL
- NPI 1548375082
Hospital
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1558479212
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639699200000",
"number": "1285627166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10837 S CICERO AVE STE 200",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604536459",
"telephone_number": "708-636-7575",
"fax_number": "708-636-6193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10837 S CICERO AVE",
"address_2": "SUITE 200",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604536458",
"telephone_number": "708-636-7575",
"fax_number": "708-636-6193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABI MANSOUR",
"first_name": "PIERROT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-25",
"last_updated": "2021-12-17",
"certification_date": "2021-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "IL",
"license": "036-071715",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036-071715",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA GROUP #",
"identifier": "CI8250",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036071715",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP #",
"identifier": "21622931",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA INDIVIDUAL #",
"identifier": "060053886",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pabimansour204983@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "10837 S Cicero Ave",
"address_2": "Suite 200",
"city": "Oak Lawn",
"state": "IL",
"country_code": "US",
"postal_code": "604536458",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "10837 S Cicero Ave",
"address_2": "Suite 200",
"city": "Oak Lawn",
"state": "IL",
"country_code": "US",
"postal_code": "604536458",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.