NPIMap

Individual provider Active NPI

Mohamed R Mansoor, M.D.

  • Cardiovascular Disease Physician
  • Hartford, CT
National Provider Identifier
1396733895
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
034571 Issued in CT
Practice address
85 Seymour St
Suite 805
Hartford, CT 06106-5501
Phone
(860) 249-9175
Fax
(860) 249-7866
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 034571 CT Primary

Addresses

Primary practice location

85 Seymour St
Suite 805
Hartford, CT 06106-5501

Mailing address

2110 Silas Deane Hwy
Rocky Hill, CT 06067-2313
Phone (860) 258-3470

Other identifiers 1

IdentifierTypeStateIssuer
001345710MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040414001282 CT Practitioner - Cardiovascular Disease (Cardiology) 0648264291 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Starling Physicians, PLLCGroup PAC ID 7517863749, 276 clinicians
Hartford HospitalGroup PAC ID 2567366016, 1,040 clinicians

Practice addresses (Care Compare)

1 Lake St
New Britain, CT 06052-1396
Phone (860) 832-7466

100 Simsbury Rd
Avon, CT 06001-3793
Phone (860) 258-3480

11 S Rd
Farmington, CT 06032-2483
Phone (860) 258-3480

1260 Silas Deane Hwy
Wethersfield, CT 06109-4362
Phone (860) 832-4666

209 Main St
Southington, CT 06489-2539
Phone (860) 258-3480

289 Western Blvd
Glastonbury, CT 06033-1256
Phone (860) 258-3480

80 Seymour St
Hartford, CT 06102-8000
Phone (860) 545-7500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as group
Quality
90.49
Promoting interoperability
100
Improvement activities
40
Cost
77.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
034571CTMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Heart Physicians, Inc. Cardiovascular Disease CurrentSince Jun 4, 2001 Accepting new patients
Starling Physicians, PLLC Cardiovascular Disease CurrentSince Jul 1, 2013 Accepting new patients
Hartford Hospital CurrentSince Apr 7, 2025 Accepting new patients
Starling Physicians PLLC CurrentSince Jul 1, 2013 Accepting new patients
Consulting Cardiologists, P.C. Cardiovascular Disease PastSince Jul 1, 2001 Accepting new patients
Starling Physicians, PLLC Past Accepting new patients
Starling Physicians, PLLC Past Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

100 Simsbury Rd
Ste 206
Avon, CT 06001
Phone (860) 676-4820

11 South Rd
Farmington, CT 06032
Phone (860) 522-7121

289 Western Blvd
Glastonbury, CT 06033
Phone (203) 237-4477

80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249

85 Seymour St
Ste 719
Hartford, CT 06106
Phone (860) 249-9175

85 Seymour St
Hartford, CT 06106
Phone (860) 246-4029

85 Seymour St
Ste 805
Hartford, CT 06106
Phone (860) 249-9175

2110 Silas Deane Hwy
Rocky Hill, CT 06067

1260 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 258-3477

1260 Silas Deane Hwy
Ste 106
Wethersfield, CT 06109
Phone (860) 258-3477

Interoperability endpoints

  • Direct secure messaging: mohamed.mansoor@xdr.hhchealthdirect.org
  • FHIR API: https://api.platform.athenahealth.com/6291/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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 9

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": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1396733895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 SILAS DEANE HWY",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060672313",
            "telephone_number": "860-258-3470",
            "fax_number": "860-571-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SEYMOUR ST",
            "address_2": "SUITE 805",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065501",
            "telephone_number": "860-249-9175",
            "fax_number": "860-249-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSOOR",
        "first_name": "MOHAMED",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "034571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001345710",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.