Edward Shawn Mansour, DO

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

L1125 Issued in TX

Practice address

9201 Pinecroft Dr
Suite 295
Shenandoah, TX 77380-3222

Phone

(281) 746-3070

Fax

(281) 970-5118

NPI assigned

Jun 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Orthopedic Surgery

Education

College of Osteo Med of the Pacific at Pomona, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baylor St. Luke'S Medical GroupGroup PAC ID 9133213192, 172 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Luke'S the Woodlands Hospital Hospital, The Woodlands, TX, CCN 450862
• CHI St Lukes Lakeside Hospital Hospital, The Woodlands, TX, CCN 670059

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JIHBCA
• Direct secure messaging: edward.mansour.p19@direct.tenet.nextgenshare.com
• Direct secure messaging: emansour8581@direct.stlukeshealth.org

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.

• Baylor St. Luke'S Medical Group

  • Internal Medicine Physician
  • The Woodlands, TX
  • NPI 1740485879

  Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD
• Cardiovascular Care Providers, Inc.

  • Specialist
  • Houston, TX
  • NPI 1437242617
  NPD (past)
• D&P Ortho LLC

  • Surgical Physician Assistant
  • Shenandoah, TX
  • NPI 1114314523
  NPD (past)
• Greater Northwest Houston Enterprises

  • Durable Medical Equipment & Medical Supplies
  • Houston, TX
  • NPI 1740572114
  NPD (past)
• Greater Northwest Houston Enterprises

  • Family Medicine Physician
  • Houston, TX
  • NPI 1881617215
  NPD (past)
• Health Texas Provider Network

  • Orthopaedic Surgery Physician
  • Waxahachie, TX
  • NPI 1245367986
  NPD (past)

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

• St Luke'S Lakeside Hospital, LLC

  • Special Hospital
  • The Woodlands, TX
  • NPI 1184868879
  Care Compare affiliation
• St. Luke'S Community Health Services

  • General Acute Care Hospital
  • The Woodlands, TX
  • NPI 1942208616
  Care Compare affiliation

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1598701393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9969",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773876969",
            "telephone_number": "281-746-3070",
            "fax_number": "281-970-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 PINECROFT DR",
            "address_2": "SUITE 295",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803222",
            "telephone_number": "281-746-3070",
            "fax_number": "281-970-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSOUR",
        "first_name": "EDWARD",
        "middle_name": "SHAWN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "L1125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149831302",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8J0324",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00036032",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR",
            "identifier": "121037",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Jean Maloney, PA-C
• Sundeep Mandava, MD
• Dominic Maneen, DO, MBA, ATC
• Stephen P Maniscalco, M.D.
• George Edward Manoukian, M.D.
• Ann Renee Manuel
• Amanda Marburger
• Cristina Rose Marchesano, M.D.
• Anu Kelur Mariyappa, M.D
• Mark Ciaglia, DO PC

• Orthopaedic Surgery Physician in Shenandoah, TX
• Providers in Shenandoah, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; 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.

Verify at the official NPI Registry.