NPIMap

Individual provider Active NPI

Chad H Mansour, MD

  • Internal Medicine Physician
  • Midland, MI
National Provider Identifier
1730186594
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301077635 Issued in MI
Practice address
4000 Wellness Dr
Midland, MI 48670-1959
Phone
(989) 839-1644
Fax
(989) 839-3029
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301077635 MI Primary

Addresses

Primary practice location

4000 Wellness Dr
Midland, MI 48670-1959

Mailing address

4000 Wellness Dr
Midland, MI 48670-1959
Phone (989) 839-1644

Other names 1

  • Chadi Mansour Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20050806000112 MI Practitioner - Internal Medicine 8426087784 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vituity - Michigan Hospitalists PCGroup PAC ID 2365860996, 76 clinicians
Mymichigan Medical GroupGroup PAC ID 4981501939, 174 clinicians

Practice addresses (Care Compare)

1215 E Michigan Ave
Lansing, MI 48912-1811
Phone (517) 364-1000

4000 Wellness Dr
Midland, MI 48670-0001
Phone (989) 839-1644

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Macomb Primary Care PC Internal Medicine CurrentSince Apr 1, 2010 Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Jun 28, 2023 Accepting new patients
Mymichigan Medical Group Current Accepting new patients
Mymichigan Medical Group Internal Medicine CurrentSince Jun 28, 2023 Accepting new patients
Manhal H Naoumi MD PC CurrentSince Dec 5, 2024 Accepting new patients
Vituity - Michigan Hospitalists PC Internal Medicine CurrentSince Apr 15, 2021 Accepting new patients
Spectrum Health Primary Care Partners Internal Medicine Current Accepting new patients
Spectrum Health Primary Care Partners Internal Medicine CurrentSince Dec 21, 2024 Accepting new patients
Spectrum Health Primary Care Partners Internal Medicine CurrentSince Dec 21, 2024 Accepting new patients
Macomb Primary Care, P.C CurrentSince Nov 12, 2009 Accepting new patients
Mymichigan Medical Center Midland Past Accepting new patients
William Beaumont Hospital Past Accepting new patients
Mercy Internal Medicine PLLC Internal Medicine PastSince Dec 5, 2024 Accepting new patients
Edward W Sparrow Hospital Association Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131

609 Quarter St
Gladwin, MI 48624
Phone (989) 246-6371

815 N Clare Ave
Harrison, MI 48625
Phone (989) 539-4096

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

1215 E Michigan Ave
#8W
Lansing, MI 48912
Phone (517) 364-2614

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

3601 W 13 Mile Rd
Royal Oak, MI 48073

500 Osborn Blvd
Sault South Marie, MI 49783
Phone (906) 635-4350

51850 Dequindre Rd
Ste 2
Shelby Township, MI 48316
Phone (586) 323-0301

43393 Schoenherr Rd
Sterling Heights, MI 48313
Phone (586) 213-5505

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

31500 Dequindre Rd
Ste 100
Warren, MI 48092
Phone (586) 939-9500

2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660

Interoperability endpoints

  • Direct secure messaging: cmansour1245023@epic00.shdirect.org
  • Direct secure messaging: cmansour138545@mymichiganhealth.midirect.net

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1730186594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486701959",
            "telephone_number": "989-839-1644",
            "fax_number": "989-839-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486701959",
            "telephone_number": "989-839-1644",
            "fax_number": "989-839-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSOUR",
        "first_name": "CHAD",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301077635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHADI",
            "last_name": "MANSOUR",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.