Active NPI
Sarmad Al-Mansour, MD, PC
- Rheumatology Physician
- Southfield, MI
National Provider Identifier
1780850560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- SA053934
- Legal business name
- SARMAD AL-MANSOUR, MD, PC
- Practice address
- 22972 Lahser Rd
Southfield, MI 48033 - Phone
- (248) 353-4777
- Fax
- (248) 353-4235
- NPI assigned
- May 1, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sarmad J Al-Mansour, M.D.
- Title
- Owner
- Phone
- (248) 353-4777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | SA053934 | MI | Primary |
Addresses
Primary practice location
22972 Lahser Rd
Southfield, MI 48033
Mailing address
8889 Lamont
Livonia, MI 48150
Phone (248) 353-4777
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4926846 | Medicaid | MI | |
| 1106356921 | Other | MI | MICHIGAN BCBS |
| 4931882 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
1 William Carls Dr
Ste C270
Commerce Township, MI 48382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221696000000",
"number": "1780850560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8889 LAMONT",
"city": "LIVONIA",
"state": "MI",
"postal_code": "48150",
"telephone_number": "248-353-4777",
"fax_number": "248-353-4235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22972 LAHSER RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "48033",
"telephone_number": "248-353-4777",
"fax_number": "248-353-4235"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SARMAD AL-MANSOUR, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-01",
"last_updated": "2008-09-18",
"status": "A",
"authorized_official_last_name": "AL-MANSOUR",
"authorized_official_first_name": "SARMAD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-353-4777",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": "MI",
"license": "SA053934",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4926846",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MICHIGAN BCBS",
"identifier": "1106356921",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4931882",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.