Abdelnasser G Elmansoury, MD PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME0064736 Issued in FL

Practice address

13411 Parker Commons Blvd Ste 101
Fort Myers, FL 33912-1873

Phone

(239) 415-4900

Fax

(239) 337-4901

NPI assigned

Jun 4, 2006

Last updated

Mar 31, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Cardiovascular Disease (Cardiology)

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cardiology Consultants of Southwest Florida IncGroup PAC ID 9335114552, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aelmansoury295999@direct.tgh.org
• FHIR API: https://api.platform.athenahealth.com/5878/brand/1/csg/1/fhir/r4
• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

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.

• Cardiology Consultants of Southwest Florida, Inc.

  dba Cardiology Consultants of Clinton

  • Cardiovascular Disease Physician
  • Fort Myers, FL
  • NPI 1255437745

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Archwell Health Medical of Florida, LLC

  • Internal Medicine Physician
  • Venice, FL
  • NPI 1497453450

  Single Specialty

  Medicare reassignment NPD
• Small Hospital Innovations LLC

  • Emergency Medicine Physician
  • Clewiston, FL
  • NPI 1184040560

  Single Specialty

  Medicare reassignment NPD
• The Heart Institute of Venice PLLC

  • Interventional Cardiology Physician
  • Venice, FL
  • NPI 1437114642

  Single Specialty

  Medicare reassignment NPD
• Abdelnasser Elmansoury MD PA

  • Cardiovascular Disease Physician
  • Brooksville, FL
  • NPI 1144592007

  Single Specialty

  NPD (past) Authorized official
• Abdelnasser Elmansoury MD, PA

  • Specialist
  • Brooksville, FL
  • NPI 1740728955
  NPD (past) Authorized official
• Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1124558929
  NPD
• Advanced Pain Management Center, Inc.

  • Specialist
  • Brooksville, FL
  • NPI 1639112469
  NPD (past)
• Associates of Anesthesiology, LLC

  • Specialist
  • Brandon, FL
  • NPI 1902957228
  NPD (past)

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1639117252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13411 PARKER COMMONS BLVD STE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121873",
            "telephone_number": "239-415-4900",
            "fax_number": "239-337-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13411 PARKER COMMONS BLVD STE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121873",
            "telephone_number": "239-415-4900",
            "fax_number": "239-337-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMANSOURY",
        "first_name": "ABDELNASSER",
        "middle_name": "G",
        "credential": "MD PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0064736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373642300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joslyn Ann Elliott
• Rebecca Harper Elliott, R.PH.
• Kerry Ellis-Berry, A.R.N.P
• Tovah Gitel Ellman, MD
• Linda Elma, FNP
• James Michael Elmore, M.D.
• Shelby Elmore, RBT
• Eric Trevor Elmquist, D.O.
• Sara Elnemr, DR.
• Daniel F Eloi

• Cardiovascular Disease Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.