Active NPI
Michael Mansour, M.D.
- Interventional Cardiology Physician
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 44178
- Practice address
- 619 19TH St S
Birmingham, AL 35233-1900 - Phone
- (205) 934-4011
- NPI assigned
- Jul 3, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 10715 | MS | |
| Cardiovascular Disease Physician | 207RC0000X | 44178 | AL | |
| Interventional Cardiology Physician | 207RI0011X | 44178 | AL | Primary |
Addresses
Primary practice location
619 19TH St S
Birmingham, AL 35233-1900
Mailing address
PO Box 55310
Birmingham, AL 35255-5310
Other practice location 1
1700 Spring Hill Ave Ste 100
Mobile, AL 36604-1416
Phone (251) 435-1200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134987001 | Other | MEDICAID OF ARKANSAS | |
| 00118990 | Medicaid | MS | |
| 060048938 | Other | MS | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, AL
- 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
- Interventional Cardiology
- Education
- University of Mississippi School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1700 Springhill Ave
Suite 100
Mobile, AL 36604-1416
Phone (251) 435-1200
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 18 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44178 | AL | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delta Medical Group | Current | Accepting new patients | |
| Imc-Diagnostic and Medical Clinic LLC | Current | Accepting new patients | |
| Imc-Diagnostic and Medical Clinic LLC | Cardiovascular Disease | Current | Accepting new patients |
| Delta Physician Practices | Past | Accepting new patients |
Locations
1700 Spring Hill Ave
Ste 100
Mobile, AL 36604
1725 Spring Hill Ave
Mobile, AL 36604
Phone (251) 435-1366
1693 Fairgrounds Rd
Greenville, MS 38703
Phone (662) 378-3783
Interoperability endpoints
- mmansour113982@directinfirmaryhealth.org
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1447201066
Cardiovascular Disease
-
- Emergency Medicine Physician
- Greenville, MS
- NPI 1790701134
-
- Multi-Specialty Clinic/Center
- Saraland, AL
- NPI 1568235000
-
- Family Nurse Practitioner
- Greenville, MS
- NPI 1598086639
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Jackson, AL
- NPI 1952427874
-
- General Acute Care Hospital
- Mobile, AL
- NPI 1558364802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1326077058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 55310",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352555310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 19TH ST S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331900",
"telephone_number": "205-934-4011"
}
],
"practiceLocations": [
{
"address_1": "1700 Spring Hill Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Mobile",
"state": "AL",
"postal_code": "366041416",
"country_code": "US",
"telephone_number": "251-435-1200",
"fax_number": "251-435-6357",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANSOUR",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MS",
"license": "10715",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AL",
"license": "44178",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "AL",
"license": "44178",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID OF ARKANSAS",
"identifier": "134987001",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00118990",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "060048938",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.