Individual provider Active NPI

George E Mansour, M.D.

  • Family Medicine Physician
  • Sarasota, FL
National Provider Identifier
1881636082
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0072190 Issued in FL
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
41507OtherFLBCBS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 IncGroup PAC ID 2163339722, 3,431 clinicians

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 Home health agency, Sarasota, FL, CCN 107132
  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
  • HCA Florida Sarasota Doctors Hospital Hospital, Sarasota, FL, CCN 100166

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
George Mansour MD, PA Family Medicine CurrentSince Mar 1, 1999 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.

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": "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

Verify at the official NPI Registry.