NPIMap

Individual provider Active NPI

Seyed Alireza Mansouri, MD MSC

  • Neurological Surgery Physician
  • Hershey, PA
National Provider Identifier
1649794819
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD467579 Issued in PA
Practice address
30 Hope Dr Ste 1200
Hershey, PA 17033-2036
Phone
(717) 531-3828
Fax
(717) 531-0793
NPI assigned
Jul 31, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD467579 PA Primary

Addresses

Primary practice location

30 Hope Dr Ste 1200
Hershey, PA 17033-2036

Mailing address

PO Box 858
MC A410
Hershey, PA 17033-0858
Phone (800) 243-1455

Other practice location 1

500 University Dr
Hershey, PA 17033-2360
Phone (800) 243-1455

Other practice location 2

423 N 21st St Ste 300
Camp Hill, PA 17011-2207
Phone (717) 763-2771

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190802001061 PA Practitioner - Neurosurgery 2163759853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

30 Hope Dr
Suite 1200
Hershey, PA 17033-2036
Phone (717) 531-3828

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
56.69
Promoting interoperability
100
Improvement activities
40
Cost
74.52

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion33
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD467579PAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Milton S Hershey Medical Center Physician Group CurrentSince Aug 19, 2019 Accepting new patients
The Milton S. Hershey Medical Center Physicians Group Neurological Surgery CurrentSince Aug 19, 2019 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
Penn State Health Holy Spirit Medical Center Past Accepting new patients
The Milton S. Hershey Medical Center Physicians Group Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

423 N 21st St
Ste 300
Camp Hill, PA 17011
Phone (717) 763-1174

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

500 University Dr
#A4
Hershey, PA 17033
Phone (717) 531-6261

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

30 Hope Dr
Ste 1200
Hershey, PA 17033
Phone (717) 531-3828

880 Century Dr
Mechanicsburg, PA 17055
Phone (717) 691-3235

Organizations & group practices 6

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1649794819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 858",
            "address_2": "MC A410",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170330858",
            "telephone_number": "800-243-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HOPE DR STE 1200",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332036",
            "telephone_number": "717-531-3828",
            "fax_number": "717-531-0793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 University Dr",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170332360",
            "country_code": "US",
            "telephone_number": "800-243-1455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "423 N 21st St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Camp Hill",
            "state": "PA",
            "postal_code": "170112207",
            "country_code": "US",
            "telephone_number": "717-763-2771",
            "fax_number": "717-724-6125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANSOURI",
        "first_name": "SEYED",
        "middle_name": "ALIREZA",
        "name_prefix": "Dr.",
        "credential": "MD MSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-31",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "MD467579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

Verify at the official NPI Registry.