Active NPI
Ali Mansour, MD
- Internal Medicine Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 294266
- Practice address
- 3400 Bainbridge Ave FL 5
Bronx, NY 10467-2404 - Phone
- (718) 920-5864
- Fax
- (718) 324-5062
- NPI assigned
- May 1, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 35113 | SC | |
| Pulmonary Disease Physician | 207RP1001X | 35113 | SC | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 35113 | SC | |
| Internal Medicine Physician | 207R00000X | 294266 | NY | Primary |
Addresses
Primary practice location
3400 Bainbridge Ave FL 5
Bronx, NY 10467-2404
Mailing address
3400 Bainbridge Ave FL 5
Bronx, NY 10467-2404
Phone (718) 920-5864
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, TX, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 E 210TH St
Bronx, NY 10467-2401
Phone (718) 920-4321
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35113 | SC | MD | Sleep Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Regional Medical Center of the Pee Dee, Inc | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| McLeod Regional Medical Center of the Pee Dee, Inc | Internal Medicine | Current | Accepting new patients |
| Austin Critical Care Specialists PA | Critical Care Medicine | Current | Accepting new patients |
| Montefiore Medical Center | Internal Medicine | Current | Accepting new patients |
| Austin Critical Care Specialists PA | Critical Care Medicine | Current | Accepting new patients |
| Montefiore Medical Center | Past | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233
11113 Research Blvd
Austin, TX 78759
Phone (512) 324-1125
850 W Central Texas Expy
Killeen, TX 76548
Phone (254) 690-0900
6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Interoperability endpoints
- amansour@montefioredirect.com
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Austin, TX
- NPI 1447435805
-
- Emergency Medical Services (Emergency Medicine) Physician
- Florence, SC
- NPI 1154371433
Internal Medicine
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Critical Care Medicine (Internal Medicine) Physician
- Round Rock, TX
- NPI 1548445596
-
- Community/Retail Pharmacy
- Florence, SC
- NPI 1871775841
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1952476988
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1952476988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708646400000",
"number": "1427279017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 BAINBRIDGE AVE FL 5",
"city": "BRONX",
"state": "NY",
"postal_code": "104672404",
"telephone_number": "718-920-5864",
"fax_number": "718-324-5062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 BAINBRIDGE AVE FL 5",
"city": "BRONX",
"state": "NY",
"postal_code": "104672404",
"telephone_number": "718-920-5864",
"fax_number": "718-324-5062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANSOUR",
"first_name": "ALI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2024-02-23",
"certification_date": "2024-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "SC",
"license": "35113",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "SC",
"license": "35113",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "SC",
"license": "35113",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "294266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.