Active NPI
Elie Mansour, MD
- Adult Reconstructive Orthopaedic Surgery Physician
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Reconstructive Orthopaedic Surgery Physician
- License
- 77352
- Practice address
- 47 College St FL 2
New Haven, CT 06510-3209 - Phone
- (203) 785-5461
- NPI assigned
- Jul 7, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | R79404 | AZ | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 0116035966 | VA | |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | 77352 | CT | Primary |
Addresses
Primary practice location
47 College St FL 2
New Haven, CT 06510-3209
Mailing address
47 College St FL 2
New Haven, CT 06510-3209
Phone (203) 785-5461
Other practice location 1
13400 E Shea Blvd
Scottsdale, AZ 85259-5452
Phone (480) 301-8000
Other practice location 2
3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | emansour1761793@ehrdirect.mayoclinicmsg.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1450 Chapel St B
New Haven, CT 06511-4405
Phone 20386754204405
800 Howard Ave
New Haven, CT 06519-1369
Phone (203) 785-2140
Hospital & facility affiliations
- Yale New Haven Health - Health at Home
- Yale-New Haven Hospital
- Lawrence & Memorial Hospital
- Bridgeport Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.36 of 100
- Quality
- 77.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.27
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 11 |
| Knee replacement | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0116035966 | VA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Orthopaedic Surgery | Current | Accepting new patients |
| Yale University | Current | Accepting new patients | |
| Yale University | Orthopaedic Surgery | Current | Accepting new patients |
Locations
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
50 Division St
New Haven, CT 06511
Phone (203) 785-2140
Interoperability endpoints
- eliemansour@nslijmedgr.allscriptsdirect.net
- emansour689384@direct.ynhh.org
- emansour1761793@ehrdirect.mayoclinicmsg.org
Organizations & group practices 3
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.
-
- Adult Mental Health Clinic/Center
- Hamden, CT
- NPI 1134391824
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
Orthopaedic Surgery
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1649260845
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1992910152
-
- General Acute Care Hospital
- New London, CT
- NPI 1073530879
-
- General Acute Care Hospital
- New London, CT
- NPI 1700092459
-
- Home Health Agency
- New Haven, CT
- NPI 1043217482
-
- Home Health Agency
- Milford, CT
- NPI 1407932056
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1336139500
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1578778726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1831760164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 COLLEGE ST FL 2",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103209",
"telephone_number": "203-785-5461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 COLLEGE ST FL 2",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103209",
"telephone_number": "203-785-5461"
}
],
"practiceLocations": [
{
"address_1": "13400 E Shea Blvd",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852595452",
"country_code": "US",
"telephone_number": "480-301-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3300 Gallows Rd",
"address_purpose": "LOCATION",
"city": "Falls Church",
"state": "VA",
"postal_code": "220423307",
"country_code": "US",
"telephone_number": "703-776-4001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANSOUR",
"first_name": "ELIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-07",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AZ",
"license": "R79404",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": "0116035966",
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "CT",
"license": "77352",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "emansour1761793@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "13400 E Shea Blvd",
"city": "Scottsdale",
"state": "AZ",
"country_code": "US",
"postal_code": "852595452",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.