Active NPI
George E Mansour, M.D.
- Family Medicine Physician
- Sarasota, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME0072190
- Practice address
- 935 N Beneva Rd
Suite707
Sarasota, FL 34232-1397 - Phone
- (941) 366-7475
- Fax
- (941) 366-4920
- NPI assigned
- Jun 12, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME0072190 | FL | Primary |
Addresses
Primary practice location
935 N Beneva Rd
Suite707
Sarasota, FL 34232-1397
Mailing address
935 N Beneva Rd
Suite707
Sarasota, FL 34232-1397
Phone (941) 366-7475
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41507 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120712000111 | FL | Practitioner - Family Practice | 9234394594 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Legacy Healthcare Services Inc
Practice addresses (Care Compare)
17470 Brookside Trace CT
Tampa, FL 33647-6201
Phone (813) 443-5042
4020 Sawyer Rd
Sarasota, FL 34233-1272
Phone (941) 366-7475
Hospital & facility affiliations
- Centerwell Home Health
- Sarasota Memorial Hospital
- HCA Florida Sarasota Doctors Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| George Mansour MD, PA | Family Medicine | Current | Accepting new patients |
| Optumcare Florida, LLC | Past | Accepting new patients | |
| Optumcare Florida LLC | Family Medicine | Past | Accepting new patients |
Locations
4020 Sawyer Rd
Sarasota, FL 34233
Phone (941) 366-7475
935 N Beneva Rd
Ste 707
Sarasota, FL 34232
Phone (941) 366-7475
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.
-
- Hospitalist Physician
- Tampa, FL
- NPI 1659884294
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Sarasota, FL
- NPI 1689608382
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881636082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "935 N BENEVA RD",
"address_2": "SUITE707",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342321397",
"telephone_number": "941-366-7475",
"fax_number": "941-366-4920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "935 N BENEVA RD",
"address_2": "SUITE707",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342321397",
"telephone_number": "941-366-7475",
"fax_number": "941-366-4920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANSOUR",
"first_name": "GEORGE",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME0072190",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "41507",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.