Individual provider Active NPI

Devone Mansour, D.O.

  • Orthopaedic Surgery Physician
  • Detroit, MI
National Provider Identifier
1932549797
Registry record updated Jul 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
5101020570 Issued in MI
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

Updated by the provider on Jul 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140625001532 MI Practitioner - Orthopedic Surgery 5597999581 Reassigns benefits to 4 organizations

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 LTDGroup PAC ID 2668383910, shared by 2 NPIs, 97 clinicians
VHS Physicians of MichiganGroup PAC ID 8921289760, 219 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Semi Medical Group CurrentSince Oct 1, 2019 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Dec 27, 2023 Accepting new patients
Henry Ford Semi Medical Group CurrentSince Oct 1, 2019 Accepting new patients
VHS Physicians of Michigan CurrentSince Aug 1, 2018 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Dec 27, 2023 Accepting new patients
McLaren Oakland CurrentSince Jun 1, 2019 Accepting new patients
Pathology Specialists of Southeast Michigan PC Current Accepting new patients
McLaren Oakland CurrentSince Jun 1, 2019 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

  • Direct secure messaging: devone.mansour.1@9704.direct.athenahealth.com
  • Direct secure messaging: 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.

View all 13

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.