Active NPI
Rizwan Mansoor, MD
- Rheumatology Physician
- Lake City, FL
National Provider Identifier
1508817370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- ME0070903
- Practice address
- 146 SW Orthopedic CT
Lake City, FL 32024-0672 - Phone
- (386) 755-9215
- Fax
- (386) 755-6469
- NPI assigned
- May 15, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | ME0070903 | FL | Primary |
Addresses
Primary practice location
146 SW Orthopedic CT
Lake City, FL 32024-0672
Mailing address
4500 W Newberry Rd
Gainesville, FL 32607-2245
Phone (352) 336-6000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 239211 | Other | AVMED | |
| 250668800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0070903 | FL | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North FL Arthritis Clinic, PA. | Rheumatology | Current | Accepting new patients |
| Medlink Management Services Inc | Past | Accepting new patients | |
| Medlink Management Services Inc | Past | Accepting new patients |
Locations
4551 W US Highway 90
Ste 102
Lake City, FL 32055
Phone (386) 719-6520
Organizations & group practices 3
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.
-
dba Lake Butler Hospital
- Critical Access Hospital
- Lake Butler, FL
- NPI 1013972272
-
dba Lake Butler Family & Pediatric Clinic
- Rural Health Clinic/Center
- Lake Butler, FL
- NPI 1114188927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424304000000",
"number": "1508817370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 W NEWBERRY RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326072245",
"telephone_number": "352-336-6000",
"fax_number": "352-332-0799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 SW ORTHOPEDIC CT",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320240672",
"telephone_number": "386-755-9215",
"fax_number": "386-755-6469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANSOOR",
"first_name": "RIZWAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2015-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "FL",
"license": "ME0070903",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "239211",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "250668800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.