NPIMap

Individual provider Active NPI

Nancy F Mansour-Habib, MD

  • Family Medicine Physician
  • Troy, MI
National Provider Identifier
1952390031
Registry record updated Apr 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301065650 Issued in MI
Practice address
3940 John R Rd
Troy, MI 48083-5688
Phone
(248) 688-9500
Fax
(248) 688-9497
NPI assigned
Oct 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2014

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 4301065650 MI Primary

Addresses

Primary practice location

3940 John R Rd
Troy, MI 48083-5688

Mailing address

3940 John R Rd
Troy, MI 48083-5688
Phone (248) 688-9500

Other names 1

  • Nancy Fawzy Mansour Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080131000090 MI Practitioner - Family Practice 2668554551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3940 John R Rd
Troy, MI 48083-5688
Phone (248) 688-9500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nancy F Mansour-Habib M.D. P,C, Family Medicine CurrentSince Dec 15, 2002 Accepting new patients
William Beaumont Hospital Past Accepting new patients

Locations

3940 John R Rd
Troy, MI 48083
Phone (248) 688-9500

Interoperability endpoints

  • Direct secure messaging: nmansourhabib241726@direct.hfhs.org

Organizations & group practices 2

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 12

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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398038400000",
    "number": "1952390031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 JOHN R RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835688",
            "telephone_number": "248-688-9500",
            "fax_number": "248-688-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 JOHN R RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835688",
            "telephone_number": "248-688-9500",
            "fax_number": "248-688-9497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSOUR-HABIB",
        "first_name": "NANCY",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-20",
        "last_updated": "2014-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301065650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "MANSOUR",
            "middle_name": "FAWZY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.