Individual provider Active NPI

Hassan Mansour, MD

  • Internal Medicine Physician
  • Taylor, MI
National Provider Identifier
1851038699
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301512359 Issued in MI
Practice address
10000 Telegraph Rd
Taylor, MI 48180-3330
Phone
(313) 295-5000
NPI assigned
May 13, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301512359 MI Primary

Addresses

Primary practice location

10000 Telegraph Rd
Taylor, MI 48180-3330

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Phone (947) 522-1952

Other practice location 1

5450 Fort St
Trenton, MI 48183-4601
Phone (734) 671-3297

Other practice location 2

33155 Annapolis St
Wayne, MI 48184-2405
Phone (734) 467-4000

Other practice location 3

18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (313) 593-7000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hmansour3275497@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20241022003990 MI Practitioner - Internal Medicine 6709266950 Reassigns benefits to 19 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Healthcare Professionals PCGroup PAC ID 0345413258, 525 clinicians
Beaumont Medical Group Hospital Based ServicesGroup PAC ID 3072875889, 575 clinicians

Practice addresses (Care Compare)

15144 Levan Rd
Livonia, MI 48154-5027
Phone (734) 779-2136

18101 Oakwood Blvd
Dearborn, MI 48124-4089

24825 Michigan Ave
Suite a
Dearborn, MI 48124-1758
Phone (313) 565-3365

44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-1187

44201 Dequindre Rd Ec
Beaumont Emergency Services TR
Troy, MI 48085-1117
Phone (248) 964-5111

Hospital & facility affiliations

  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
  • Beaumont Hospital - Taylor Hospital, Taylor, MI, CCN 230270

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southfield City Urgent Care PC CurrentSince Sep 1, 2024 Accepting new patients
Get Well Urgent Care Southgate PLC CurrentSince Sep 1, 2024 Accepting new patients
Hoover Urgent Care of Warren PLLC CurrentSince Sep 1, 2024 Accepting new patients
Roseville Urgent Care, PC CurrentSince Sep 1, 2024 Accepting new patients
Oak Park Urgent Care PLLC CurrentSince Sep 1, 2024 Accepting new patients
Get Well Urgent Care Madison Heights PLC CurrentSince Sep 1, 2024 Accepting new patients
Truesthetix PLLC Internal Medicine CurrentSince Aug 20, 2025 Accepting new patients
Beaumont Medical Group Hospital -Based Services CurrentSince Aug 29, 2024 Accepting new patients
Get Well Urgent Care Dearborn Heights PLC Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
Get Well Urgent Care Sterling Heights PLC CurrentSince Sep 1, 2024 Accepting new patients
Get Well Urgent Care Taylor PLC CurrentSince Sep 1, 2024 Accepting new patients
Harper Woods Urgent Care and Medical Center PLLC CurrentSince Sep 1, 2024 Accepting new patients
Get Well Urgent Care Macomb PLC CurrentSince Sep 1, 2024 Accepting new patients
Get Well Urgent Care Pontiac PLC CurrentSince Sep 1, 2024 Accepting new patients
Get Well Urgent Care Dearborn PLC CurrentSince Sep 1, 2024 Accepting new patients
Get Well Urgent Care Downriver PLC CurrentSince Sep 1, 2024 Accepting new patients
Get Well Urgent Care Shelby PLC CurrentSince Sep 1, 2024 Accepting new patients
Get Well Urgent Care Harper Woods PLC CurrentSince Sep 1, 2024 Accepting new patients
Garg and Associates Inc Past Accepting new patients

Locations

15945 19 Mile Rd
Ste 102
Clinton Twp, MI 48038
Phone (586) 413-9100

24825 Michigan Ave
Ste A
Dearborn, MI 48124
Phone (313) 565-3365

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

13244 W Warren Ave
Dearborn, MI 48126
Phone (313) 380-1200

24950 W Warren St
Dearborn Heights, MI 48127
Phone (313) 595-2000

19335 Grand River Ave
Detroit, MI 48223
Phone (313) 794-8780

19959 Vernier Rd
Ste 400
Harper Woods, MI 48225
Phone (313) 499-1951

1770 Fort St
Lincoln Park, MI 48146
Phone (313) 406-4413

350 E 12 Mile Rd
Madison Hts, MI 48071
Phone (248) 206-3797

24661 Coolidge Hwy
Oak Park, MI 48237
Phone (248) 398-4000

20769 E 13 Mile Rd
Roseville, MI 48066
Phone (586) 294-7070

13467 23 Mile Rd
Shelby Township, MI 48315
Phone (248) 267-5040

23832 Southfield Rd
Southfield, MI 48075
Phone (248) 443-8089

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

15830 Fort St
Southgate, MI 48195
Phone (734) 282-5444

2567 Metropolitan Pkwy
Sterling Hts, MI 48310
Phone (586) 574-0000

20202 Eureka Rd
Taylor, MI 48180
Phone (734) 589-1300

10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

26000 Hoover Rd
Warren, MI 48089
Phone (586) 722-0707

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

5450 Fort St
Woodhaven, MI 48183
Phone (734) 671-3297

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9626/brand/1/csg/1/fhir/r4
  • Direct secure messaging: hmansour1245026@epic00.shdirect.org

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1652400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1851038699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849",
            "telephone_number": "947-522-1952",
            "fax_number": "947-522-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 TELEGRAPH RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803330",
            "telephone_number": "313-295-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5450 Fort St",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "MI",
            "postal_code": "481834601",
            "country_code": "US",
            "telephone_number": "734-671-3297",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33155 Annapolis St",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "MI",
            "postal_code": "481842405",
            "country_code": "US",
            "telephone_number": "734-467-4000",
            "fax_number": "734-467-4017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18101 Oakwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481244089",
            "country_code": "US",
            "telephone_number": "313-593-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANSOUR",
        "first_name": "HASSAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-13",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301512359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hmansour3275497@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "10000 Telegraph Rd",
            "city": "Taylor",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481803330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

Verify at the official NPI Registry.