Mohamed Mansour, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301092330 Issued in MI

Practice address

1230 S Linden Rd
Flint, MI 48532-3459

Phone

(407) 620-3003

NPI assigned

Nov 3, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in MI, OH2 enrollments

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 2

Specialty

Internal Medicine

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hisey Physician Services, LLCGroup PAC ID 8426495292, 43 clinicians

Mvhe IncGroup PAC ID 9537066584, 399 clinicians

Upper Valley Professional CorporationGroup PAC ID 5597658138, 83 clinicians

McLaren Hospital GroupGroup PAC ID 2365968351, 366 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLaren Flint Hospital, Flint, MI, CCN 230141
• Upper Valley Medical Center Hospital, Troy, OH, CCN 360174
• Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
• Atrium Medical Center Hospital, Franklin, OH, CCN 360076

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmansour18706@direct.covenanthealthcare.com

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.

• McLaren Hospital Group

  • Emergency Medicine Physician
  • Flint, MI
  • NPI 1942026174

  Hospitalist

  Medicare reassignment Care Compare group NPD
• Hisey Physician Services, LLC

  • Hospitalist Physician
  • Middletown, OH
  • NPI 1073380614
  Medicare reassignment Care Compare group NPD
• Mvhe Inc

  • Family Medicine Physician
  • Moraine, OH
  • NPI 1659504785
  Medicare reassignment Care Compare group NPD
• Upper Valley Professional Corporation

  • Family Medicine Physician
  • Troy, OH
  • NPI 1407872518
  Medicare reassignment Care Compare group NPD
• Covenant Medical Center, Inc.

  • Emergency Medicine Physician
  • Saginaw, MI
  • NPI 1972590412
  Medicare reassignment NPD
• Ohiohealth Corporation

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1578545273
  Medicare reassignment NPD
• Sinclair Physician Services, LLC

  • Hospitalist Physician
  • Dayton, OH
  • NPI 1063289601
  Medicare reassignment NPD
• Covenant Medical Center, Inc

  • Family Medicine Physician
  • Saginaw, MI
  • NPI 1619412376
  NPD
• Covenant Medical Center, Inc.

  • General Acute Care Hospital
  • Saginaw, MI
  • NPI 1588656946
  NPD
• McLaren Flint

  • Physician Assistant
  • Flint, MI
  • NPI 1700919628
  NPD
• Mvhe Inc

  • Internal Medicine Physician
  • Middletown, OH
  • NPI 1497154827
  NPD
• Mvhe, Inc

  • Hospitalist Physician
  • Middletown, OH
  • NPI 1023459401
  NPD

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

• McLaren Flint

  • General Acute Care Hospital
  • Flint, MI
  • NPI 1902894512
  Care Compare affiliation
• Atrium Medical Center

  • General Acute Care Hospital
  • Franklin, OH
  • NPI 1700950060
  Care Compare affiliation
• Miami Valley Hospital

  • General Acute Care Hospital
  • Dayton, OH
  • NPI 1073688354
  Care Compare affiliation
• Upper Valley Medical Center

  • General Acute Care Hospital
  • Troy, OH
  • NPI 1184638942
  Care Compare affiliation

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1790938868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4085",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485040085",
            "telephone_number": "407-620-3003",
            "fax_number": "810-471-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323459",
            "telephone_number": "407-620-3003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3507 Sunset Dr",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485032365",
            "country_code": "US",
            "telephone_number": "407-620-3003",
            "fax_number": "844-328-1261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "G3230 Beecher Rd",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485323604",
            "country_code": "US",
            "telephone_number": "407-620-3003",
            "fax_number": "810-471-3094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANSOUR",
        "first_name": "MOHAMED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-03",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301092330",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301092330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmansour18706@direct.covenanthealthcare.com",
            "affiliation": "N",
            "address_1": "1230 S Linden Rd",
            "city": "Flint",
            "state": "MI",
            "country_code": "US",
            "postal_code": "485323459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmansour18706@direct.covenanthealthcare.com",
            "affiliation": "N",
            "address_1": "3507 Sunset Dr",
            "city": "Flint",
            "state": "MI",
            "country_code": "US",
            "postal_code": "485032365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmansour18706@direct.covenanthealthcare.com",
            "affiliation": "N",
            "address_1": "G3230 Beecher Rd",
            "city": "Flint",
            "state": "MI",
            "country_code": "US",
            "postal_code": "485323604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sreenivas Mannam, M.D.
• Cynthia Pearl Mannino, MSW
• Fay Mannion
• Katrina Daisy Mansour
• Mackenzie Mansour, PA
• Sandra Mens Manssur, NP
• Angeli V Mantos
• Tintin Llena Manuela Abad, M.D.
• Sirisha Manyam, DO
• Vani Manyam, M.D.

• Family Medicine Physician in Flint, MI
• Providers in Flint, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.