NPIMap

Individual provider Active NPI

Atizazul H Mansoor, MD

  • Cardiovascular Disease Physician
  • Harrisburg, PA
National Provider Identifier
1871719377
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD448283 Issued in PA
Practice address
2808 Old Post Rd
Harrisburg, PA 17110-3685
Phone
(717) 980-4400
NPI assigned
Apr 17, 2007
Last updated
Jan 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X LP00858 RI
Nuclear Cardiology Physician 207UN0901X MD448283 PA
Cardiovascular Disease Physician 207RC0000X MD448283 PA Primary

Addresses

Primary practice location

2808 Old Post Rd
Harrisburg, PA 17110-3685

Mailing address

409 S 2ND St
Suite 2F
Harrisburg, PA 17104-1612
Phone (717) 920-4400

Other practice location 1

1000 N Front St
Wormleysburg, PA 17043-1021
Phone (717) 731-0101

Other practice location 2

900 Century Dr Ste 100
Mechanicsburg, PA 17055-4525
Phone (717) 591-3660

Other practice location 3

12 St Paul Dr Ste 205
Chambersburg, PA 17201-1035
Phone (717) 217-6881

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amansoor7272@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130819000080 PA Practitioner - Cardiovascular Disease (Cardiology) 1153474507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Massachusetts Medical School, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Health Cardiovascular Institute IncGroup PAC ID 6901087006, 117 clinicians

Practice addresses (Care Compare)

2808 Old Post Rd
Harrisburg, PA 17110-3685
Phone (717) 920-4400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.6 of 100Reported as group
Quality
70.07
Promoting interoperability
100
Improvement activities
40
Cost
71.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP00858RIMDInternal Medicine Physician
MD448283PAMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Cardiovascular Institute Inc Cardiovascular Disease CurrentSince Jul 23, 2013 Accepting new patients
Cumberland Pathology Associates, LLC Past Accepting new patients
Pinnacle Health Medical Services PastSince Jul 23, 2013 Accepting new patients

Locations

360 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-6557

12 St Paul Dr
Ste 205
Chambersburg, PA 17201
Phone (717) 217-6881

830 Norland Ave
Chambersburg, PA 17201
Phone (717) 217-6881

2808 Old Post Rd
Harrisburg, PA 17110
Phone (717) 591-7122

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

2020 Technology Pkwy
Ste 201
Mechanicsburg, PA 17050
Phone (717) 441-3065

900 Century Dr
Ste 100
Mechanicsburg, PA 17055
Phone (717) 591-3660

900 Century Dr
Ste 101
Mechanicsburg, PA 17055
Phone (717) 766-1066

659 Spring Garden Dr
Middletown, PA 17057
Phone (717) 835-1116

1000 N Front St
Wormleysburg, PA 17043

Interoperability endpoints

  • Direct secure messaging: amansoor295336@upmc.direct-ci.com
  • Direct secure messaging: amansoor7272@phsdirect.pinnaclehealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1871719377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S 2ND ST",
            "address_2": "SUITE 2F",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041612",
            "telephone_number": "717-920-4400",
            "fax_number": "717-920-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 OLD POST RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171103685",
            "telephone_number": "717-980-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 N Front St",
            "address_purpose": "LOCATION",
            "city": "Wormleysburg",
            "state": "PA",
            "postal_code": "170431021",
            "country_code": "US",
            "telephone_number": "717-731-0101",
            "fax_number": "717-441-0592",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Century Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170554525",
            "country_code": "US",
            "telephone_number": "717-591-3660",
            "fax_number": "717-591-3661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 St Paul Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011035",
            "country_code": "US",
            "telephone_number": "717-217-6881",
            "fax_number": "717-217-6889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANSOOR",
        "first_name": "ATIZAZUL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "LP00858",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "PA",
            "license": "MD448283",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD448283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amansoor7272@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "2808 Old Post Rd",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171103685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.