Active NPI
Sana Mansoor, M.D
- Pediatric Gastroenterology Physician
- Baltimore, MD
National Provider Identifier
1912253121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- D008545
- Practice address
- 2411 W Belvedere Ave Ste 407
Baltimore, MD 21215-5231 - Phone
- (410) 601-8663
- Fax
- (410) 601-5389
- NPI assigned
- Jul 25, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | D008545 | MD | Primary |
Addresses
Primary practice location
2411 W Belvedere Ave Ste 407
Baltimore, MD 21215-5231
Mailing address
9500 Euclid Ave
Cleveland, OH 44195-0001
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | smansoor@direct.lifebridgehealth.org | Sinai Hospital of Baltimore, Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D008545 | MD | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sinai Hospital of Baltimore Inc | Pediatric Gastroenterology | Current | Accepting new patients |
| Sinai Hospital of Baltimore, Inc. | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
2411 W Belvedere Ave
Ste 407
Baltimore, MD 21215
Phone (410) 601-8663
Interoperability endpoints
- smansoor@direct.lifebridgehealth.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.
-
- Pediatric Gastroenterology Physician
- Baltimore, MD
- NPI 1992720528
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1285672204
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1912253121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9500 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441950001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2411 W BELVEDERE AVE STE 407",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212155231",
"telephone_number": "410-601-8663",
"fax_number": "410-601-5389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANSOOR",
"first_name": "SANA",
"name_prefix": "Miss",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-25",
"last_updated": "2023-11-27",
"certification_date": "2020-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "MD",
"license": "D008545",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "smansoor@direct.lifebridgehealth.org",
"affiliation": "Y",
"affiliationName": "Sinai Hospital of Baltimore, Inc",
"address_1": "2411 W Belvedere Ave Ste 407",
"city": "Baltimore",
"state": "MD",
"country_code": "US",
"postal_code": "212155231",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.