Individual provider Active NPI

Alfred Mansour III, MD

  • Orthopaedic Surgery Physician
  • Houston, TX
National Provider Identifier
1770630568
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
P1565 Issued in TX
Practice address
6400 Fannin Street
Suite 1700
Houston, TX 77030
Phone
(713) 486-1820
Fax
(713) 512-7240
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 48719 CO
Orthopaedic Surgery Physician 207X00000X P1565 TX Primary

Addresses

Primary practice location

6400 Fannin Street
Suite 1700
Houston, TX 77030

Mailing address

6400 Fannin Street
Suite 1700
Houston, TX 77030
Phone (713) 486-1820

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120810000307 TX Practitioner - Orthopedic Surgery 1153593249 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Louisiana State University School of Medicine in New Orleans, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

5420 W Loop S
Suite 2400
Bellaire, TX 77401-2107
Phone (713) 486-3550

6410 Fannin St
Houston, TX 77030-3005

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48719COMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shriners Hospitals for Children CurrentSince Apr 1, 2016 Accepting new patients
Ut Physicians CurrentSince Sep 1, 2012 Accepting new patients
Ut Physicians CurrentSince Sep 1, 2012 Accepting new patients
Shriners Hospitals for Children CurrentSince Apr 1, 2016 Accepting new patients

Locations

5420 West Loop S
Ste 2300
Bellaire, TX 77401
Phone (713) 486-4880

815 Market St
Galveston, TX 77550
Phone (409) 770-6600

6400 Fannin St
Ste 1700
Houston, TX 77030
Phone (713) 486-5527

6977 Main St
Houston, TX 77030
Phone (713) 793-3700

6400 Fannin St
Ste 2250
Houston, TX 77030
Phone (713) 486-5555

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

950 Corbindale Rd
Ste 300
Houston, TX 77024
Phone (713) 486-1700

Interoperability endpoints

  • Direct secure messaging: amansour10928@direct.uth.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1770630568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 FANNIN STREET",
            "address_2": "SUITE 1700",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "713-486-1820",
            "fax_number": "713-512-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 FANNIN STREET",
            "address_2": "SUITE 1700",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "713-486-1820",
            "fax_number": "713-512-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSOUR",
        "first_name": "ALFRED",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "48719",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "P1565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.