NPIMap

Individual provider Active NPI

Faran Mansoor, MD

  • Internal Medicine Physician
  • Pottsville, PA
National Provider Identifier
1407471212
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD481185 Issued in PA
Practice address
106 S Claude a Lord Blvd
Pottsville, PA 17901-3639
Phone
(570) 728-2424
Fax
(570) 728-2425
NPI assigned
Jun 8, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD481185 PA Primary

Addresses

Primary practice location

106 S Claude a Lord Blvd
Pottsville, PA 17901-3639

Mailing address

2100 Mack Blvd FL 4
Allentown, PA 18103-5622
Phone (484) 884-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20230615002610 PA Practitioner - Internal Medicine 0547628000 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Medical Group P CGroup PAC ID 1355247180, 105 clinicians

Practice addresses (Care Compare)

420 S Jackson St
Pottsville, PA 17901-3625
Phone (570) 621-5000

48 Tunnel Rd
Pottsville, PA 17901-3875

700 E Norwegian St
Pottsville, PA 17901-2710
Phone (570) 621-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.64 of 100Reported as group
Quality
76.75
Promoting interoperability
87
Improvement activities
40
Cost
74.84

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD481185PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group Internal Medicine Current Accepting new patients
Schuylkill Health System Medical Group, Inc. Internal Medicine CurrentSince Jul 8, 2024 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 1, 2025 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 1, 2025 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Jul 10, 2023 Accepting new patients
Integrated Medical Group P C Internal Medicine CurrentSince Sep 8, 2025 Accepting new patients
Hazleton Professional Services Internal Medicine CurrentSince Jul 8, 2024 Accepting new patients
Integrated Medical Group, P.C. CurrentSince Sep 8, 2025 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jul 8, 2024 Accepting new patients
Schuylkill Health System Medical Group, Inc. Internal Medicine CurrentSince Jul 8, 2024 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
St Luke'S Physician Group, Inc CurrentSince Jul 10, 2023 Accepting new patients
Gslpg, Inc CurrentSince Jul 1, 2023 Accepting new patients
Integrated Medical Group Internal Medicine Past Accepting new patients
Lehigh Valley Hospital Hazleton Past Accepting new patients
Schuylkill Center Opco LLC Past Accepting new patients

Locations

2100 Mack Blvd
Fl 4
Allentown, PA 18103

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

700 E Broad St
Hazleton, PA 18201
Phone (570) 501-4000

1000 Alliance Dr
#10
Hazleton, PA 18202
Phone (570) 501-6450

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

209 E Market St
Orwigsburg, PA 17961
Phone (272) 639-5040

700 E Norwegian St
Pottsville, PA 17901
Phone (570) 621-4000

48 Tunnel Rd
Ste 104
Pottsville, PA 17901
Phone (570) 622-5555

700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440

106 S Claude a Lord Blvd
Pottsville, PA 17901
Phone (570) 622-4209

82 Tunnel Rd
Pottsville, PA 17901
Phone (570) 622-5455

420 S Jackson St
Pottsville, PA 17901
Phone (570) 621-5000

Interoperability endpoints

  • Direct secure messaging: fmansoor1117841@direct2.lvhn.org

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 35

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1407471212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MACK BLVD FL 4",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035622",
            "telephone_number": "484-884-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S CLAUDE A LORD BLVD",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013639",
            "telephone_number": "570-728-2424",
            "fax_number": "570-728-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSOOR",
        "first_name": "FARAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD481185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

Verify at the official NPI Registry.