Individual provider Active NPI

Jasmin Mansoori, DPM

  • Podiatrist
  • Plano, TX
National Provider Identifier
1396206348
Registry record updated Aug 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
3130 Issued in TX
Practice address
2301 Ohio Dr
Suite 182
Plano, TX 75093
Phone
(469) 398-1972
Fax
(737) 247-7483
NPI assigned
Mar 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 3130 TX
Foot Surgery Podiatrist 213ES0131X 3130 TX
Podiatrist 213E00000X 3130 TX Primary

Addresses

Primary practice location

2301 Ohio Dr
Suite 182
Plano, TX 75093

Mailing address

2301 Ohio Dr
Suite 182
Plano, TX 75093
Phone (469) 398-1972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20220517000182 TX Practitioner - Podiatry 4183001944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
R Franklin University of Med & Sci/Chicago Medical School, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2301 Ohio Dr
Suite 182
Plano, TX 75093-4080
Phone (469) 398-1972

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue145
Removal or shaving of skin growth107
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3130TXMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aj Foot and Ankle Care, LLC Podiatrist CurrentSince Aug 1, 2022 Accepting new patients

Locations

2301 Ohio Dr
Ste 182
Plano, TX 75093
Phone (469) 398-1972

3100 Independence Pkwy
Ste 103A
Plano, TX 75075
Phone (214) 553-5543

Interoperability endpoints

  • Direct secure messaging: jasmin.mansoori.1@27274.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/27274/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1553904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725062400000",
    "number": "1396206348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 OHIO DR",
            "address_2": "SUITE 182",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75093",
            "telephone_number": "469-398-1972",
            "fax_number": "737-247-7483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 OHIO DR",
            "address_2": "SUITE 182",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75093",
            "telephone_number": "469-398-1972",
            "fax_number": "737-247-7483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSOORI",
        "first_name": "JASMIN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-30",
        "last_updated": "2024-08-31",
        "certification_date": "2024-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "3130",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "3130",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "3130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.