Organization Active NPI

Sarmad Al-Mansour, MD, PC

  • Rheumatology Physician
  • Southfield, MI
National Provider Identifier
1780850560
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
SA053934 Issued in MI
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

Updated by the provider on Sep 18, 2008

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)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
4926846MedicaidMI
1106356921OtherMIMICHIGAN BCBS
4931882MedicaidMI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.