Active NPI
Devone Mansour, D.O.
- Orthopaedic Surgery Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 5101020570
- Practice address
- 311 Mack Ave FL 5
Detroit, MI 48201-2466 - Phone
- (313) 832-0500
- NPI assigned
- Jun 26, 2013
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 5101020570 | MI | Primary |
Addresses
Primary practice location
311 Mack Ave FL 5
Detroit, MI 48201-2466
Mailing address
311 Mack Ave FL 5
Detroit, MI 48201-2466
Phone (313) 966-1008
Other practice location 1
50 N Perry Street
McLaren Oakland
Pontiac, MI 48342
Phone (248) 338-5000
Other practice location 2
6071 W Outer Dr
1 Main
Detroit, MI 48235
Phone (313) 966-1008
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Michigan State University College of Osteopathic Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dearborn Physical Therapy LTD
Practice addresses (Care Compare)
22101 Moross Rd
Detroit, MI 48236-2148
Phone (586) 753-0011
23852 Michigan Ave
Dearborn, MI 48124-1829
311 Mack Ave
FL 5
Detroit, MI 48201-2466
Phone (313) 832-0500
Hospital & facility affiliations
- Detroit Receiving Hospital
- Sinai-Grace Hospital
- McLaren Oakland
- Harper University Hospital
- Henry Ford Health St John Hospital
- Rehabilitation Institute of Michigan
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Semi Medical Group | Current | Accepting new patients | |
| Henry Ford Health St. John Hospital | Current | Accepting new patients | |
| Henry Ford Semi Medical Group | Current | Accepting new patients | |
| VHS Physicians of Michigan | Current | Accepting new patients | |
| Henry Ford Health St. John Hospital | Current | Accepting new patients | |
| Henry Ford Health St. John Hospital | Current | Accepting new patients | |
| McLaren Oakland | Current | Accepting new patients | |
| Pathology Specialists of Southeast Michigan PC | Current | Accepting new patients | |
| McLaren Oakland | Current | Accepting new patients | |
| VHS Sinai-Grace Hospital Inc | Past | Accepting new patients | |
| VHS Detroit Receiving Hospital Inc | Past | Accepting new patients | |
| Ascension Macomb Oakland Hospital | Past | Accepting new patients | |
| VHS Sinai-Grace Hospital Inc | Past | Accepting new patients |
Locations
8172 Reliable Pkwy
Chicago, IL 60686
Phone (517) 908-0847
22101 Moross Rd
Ste 214
Detroit, MI 48236
Phone (313) 343-7110
3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227
22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248
6071 W Outer Dr
#1
Detroit, MI 48235
Phone (313) 966-1008
22201 Moross Rd
Ste 214
Detroit, MI 48236
Phone (313) 343-7110
6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300
311 Mack Ave
Fl 5
Detroit, MI 48201
Phone (313) 832-0500
22201 Moross Rd
Ste 150
Grosse Pointe, MI 48236
Phone (313) 343-7110
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
33703 Van Dyke Ave
Sterling Heights, MI 48312
Phone (586) 558-2860
30117 Schoenherr Rd
Ste 400
Warren, MI 48088
Phone (586) 552-4848
Interoperability endpoints
- devone.mansour.1@9704.direct.athenahealth.com
- dmansour1140088@direct.hfhs.org
Organizations & group practices 13
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.
-
dba St John North Shores Hospital
- Podiatrist
- Harrison Township, MI
- NPI 1043478910
-
dba DMC Medical Group
- Internal Medicine Physician
- Southfield, MI
- NPI 1073827101
-
- Endocrinology, Diabetes & Metabolism Physician
- Novi, MI
- NPI 1114133485
-
- Family Medicine Physician
- Pontiac, MI
- NPI 1053463778
-
dba Henry Ford St John Hospital
- Internal Medicine Physician
- Detroit, MI
- NPI 1912965088
-
- Surgery Physician
- Detroit, MI
- NPI 1629272968
-
- Psychiatric Hospital Unit
- Pontiac, MI
- NPI 1245817881
-
- Anatomic Pathology & Clinical Pathology Physician
- Detroit, MI
- NPI 1023100500
-
dba St John Hospital and Medical Center
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
-
dba Michigan Neuro-Ophthalmology & Oculoplastic Surgery
- Ophthalmology Physician
- Madison Heights, MI
- NPI 1114962461
-
dba Detroit Receiving Hospital
- General Acute Care Hospital
- Detroit, MI
- NPI 1619289998
-
dba Sinai-Grace Hospital
- Radiation Oncology Physician
- Detroit, MI
- NPI 1043681174
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pontiac, MI
- NPI 1376564088
-
dba Detroit Receiving Hospital
- General Acute Care Hospital
- Detroit, MI
- NPI 1619289998
-
dba Harper University Hospital
- General Acute Care Hospital
- Detroit, MI
- NPI 1427360700
-
dba Rehabilitation Institute of Michigan
- Rehabilitation Hospital
- Detroit, MI
- NPI 1871805150
Inpatient rehabilitation facility
-
dba Sinai-Grace Hospital
- General Acute Care Hospital
- Detroit, MI
- NPI 1760794044
-
dba St John Hospital and Medical Center
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562284800000",
"number": "1932549797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 MACK AVE FL 5",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012466",
"telephone_number": "313-966-1008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 MACK AVE FL 5",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012466",
"telephone_number": "313-832-0500"
}
],
"practiceLocations": [
{
"address_1": "50 N Perry Street",
"address_2": "McLaren Oakland",
"address_purpose": "LOCATION",
"city": "Pontiac",
"state": "MI",
"postal_code": "48342",
"country_code": "US",
"telephone_number": "248-338-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6071 W Outer Dr",
"address_2": "1 Main",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "48235",
"country_code": "US",
"telephone_number": "313-966-1008",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANSOUR",
"first_name": "DEVONE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-26",
"last_updated": "2019-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "5101020570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; 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.