Individual provider Active NPI

Adel S Mansour, MD

  • Internal Medicine Physician
  • Coral Springs, FL
National Provider Identifier
1467436246
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0075259 Issued in FL
Practice address
8880 Royal Palm Blvd Ste 105
Coral Springs, FL 33065-5727
Phone
(954) 983-9191
Fax
(866) 285-7068
NPI assigned
Dec 5, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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 ME0075259 FL Primary

Addresses

Primary practice location

8880 Royal Palm Blvd Ste 105
Coral Springs, FL 33065-5727

Mailing address

8880 Royal Palm Blvd Ste 105
Coral Springs, FL 33065-5727
Phone (954) 983-9191

Other practice location 1

1926 10th Ave N
Suite 202
Lake Worth, FL 33461-3300
Phone (561) 588-4844

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050223000760 FL Practitioner - Internal Medicine 6709839327 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0075259FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Physician Care P a Internal Medicine CurrentSince Jun 1, 2020 Accepting new patients
Boca Medical Specialists, Inc Internal Medicine Past Accepting new patients

Locations

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

4800 Linton Blvd
Ste F107
Delray Beach, FL 33445
Phone (561) 498-4223

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

Organizations & group practices 2

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": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1467436246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8880 ROYAL PALM BLVD STE 105",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655727",
            "telephone_number": "954-983-9191",
            "fax_number": "866-285-7068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8880 ROYAL PALM BLVD STE 105",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655727",
            "telephone_number": "954-983-9191",
            "fax_number": "866-285-7068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1926 10th Ave N",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Lake Worth",
            "state": "FL",
            "postal_code": "334613300",
            "country_code": "US",
            "telephone_number": "561-588-4844",
            "fax_number": "561-588-3655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANSOUR",
        "first_name": "ADEL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0075259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.