Individual provider Active NPI

Salah Eldein Mansour, PA-C

  • Physician Assistant
  • Adrian, MI
National Provider Identifier
1427567569
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601008360 Issued in MI
Practice address
142 E Maumee St Ste 3
Adrian, MI 49221-2735
Phone
(313) 388-1666
Fax
(313) 388-6961
NPI assigned
Sep 20, 2017
Last updated
Jan 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601008360 MI Primary

Addresses

Primary practice location

142 E Maumee St Ste 3
Adrian, MI 49221-2735

Mailing address

142 E Maumee St Ste 3
Adrian, MI 49221-2735
Phone (313) 213-9433

Other practice location 1

17950 Woodward Ave
Detroit, MI 48203-2260
Phone (313) 401-0929

Other practice location 2

34841 Veterans Plz
Wayne, MI 48184-1733
Phone (734) 600-7873

Other practice location 3

9315 Telegraph Rd
Redford, MI 48239-1260
Phone (313) 450-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171010000586 MI Practitioner - Physician Assistant 4688949167 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Acpc PLLCGroup PAC ID 4981947850, 19 clinicians
Pure Psychiatry of Michigan PLLCGroup PAC ID 1254741283, 102 clinicians
Lincoln Behavioral ServicesGroup PAC ID 7113816612, 23 clinicians

Practice addresses (Care Compare)

142 E Maumee St
Adrian, MI 49221-2735
Phone (517) 263-5810

34841 Veterans PLZ
Wayne, MI 48184-1733
Phone (313) 292-7640

9315 Telegraph Rd
Redford, MI 48239-1260
Phone (313) 450-4500

9329 Telegraph Rd
Redford, MI 48239-1260
Phone (313) 937-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Behavioral Services CurrentSince Jul 12, 2021 Accepting new patients
Hurley Medical Center CurrentSince Jan 1, 2021 Accepting new patients
Hurley Medical Center Current Accepting new patients
Hurley Medical Center CurrentSince Jan 1, 2021 Accepting new patients
Hurley Medical Center Physician Assistant Current Accepting new patients
Hurley Medical Center Physician Assistant CurrentSince Jan 1, 2021 Accepting new patients
Pathology Associates Inc PC Current Accepting new patients
Priti Bhardwaj MD PC Past Accepting new patients

Locations

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

1085 S Linden Rd
Ste 150
Flint, MI 48532
Phone (810) 262-2100

9315 Telegraph Rd
Redford, MI 48239
Phone (313) 937-9500

Interoperability endpoints

  • Direct secure messaging: adriancounselingandpsychiatricclinic.salahmansour@153442.advancedmd-direct.com
  • Direct secure messaging: purepsychiatryofmichigan.salahmansour@153418.advancedmd-direct.com
  • Direct secure messaging: vitalhealthmanagement.salahmansour@157655.advancedmd-direct.com

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1427567569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 E MAUMEE ST STE 3",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212735",
            "telephone_number": "313-213-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 E MAUMEE ST STE 3",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212735",
            "telephone_number": "313-388-1666",
            "fax_number": "313-388-6961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17950 Woodward Ave",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482032260",
            "country_code": "US",
            "telephone_number": "313-401-0929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34841 Veterans Plz",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "MI",
            "postal_code": "481841733",
            "country_code": "US",
            "telephone_number": "734-600-7873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9315 Telegraph Rd",
            "address_purpose": "LOCATION",
            "city": "Redford",
            "state": "MI",
            "postal_code": "482391260",
            "country_code": "US",
            "telephone_number": "313-450-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANSOUR",
        "first_name": "SALAH",
        "middle_name": "ELDEIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-20",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601008360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adrian, MI

Sources for this page

Verify at the official NPI Registry.