Mashail Manzur

Primary specialty

PodiatristTaxonomy code 213E00000X

License

POD001450 Issued in GA

Practice address

1460 Montreal Rd E
Ste 250
Tucker, GA 30084

Phone

(470) 880-2414

Fax

(678) 802-2414

NPI assigned

Apr 5, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

University of Miami, LM Miller School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlanta Heart Specialists LLCGroup PAC ID 9537134341, 21 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.16 of 100Reported as group

Promoting interoperability

95

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FIFCAA

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.

• Atlanta Heart Specialists LLC

  • Cardiovascular Disease Physician
  • Tucker, GA
  • NPI 1891881827
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1689107807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 MONTREAL RD E",
            "address_2": "STE 275",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "30084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 MONTREAL RD E",
            "address_2": "STE 250",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "30084",
            "telephone_number": "470-880-2414",
            "fax_number": "678-802-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZUR",
        "first_name": "MASHAIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-05",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD001450",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PR507",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylan Maloney, LAPC
• Mehtab Manji
• Atul Dave Manocha, PHARM.D
• Bessie A Manohar, M.D.
• Mandana Manouchehri, PHARMD
• Joel Edward Margolies, DC
• Danice B. Mariney, RN IBCLC
• Mark Lynn OD & Associates PC
• Lisa A Marquardt, PAC
• Joseph Louis Marrocco, RPH

• Podiatrist in Tucker, GA
• Providers in Tucker, GA by specialty
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.