DR. EMAD S MANSOUR MD
NPI 1013967744
Pediatrics - Pediatric Critical Care Medicine in Fort Myers, FL

NPI Status: Active since May 11, 2006

Contact Information

9981 S HEALTHPARK DR
FORT MYERS, FL
ZIP 33908
Phone: (239) 343-5651
Fax: (239) 343-5652

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  • Individual
  • Male
  • Years of Experience 43
  • Pediatrics
  • Pediatric Critical Care Medicine
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About EMAD MANSOUR

This page provides the complete NPI Profile along with additional information for Emad Mansour, a pediatrician established in Fort Myers, Florida with a medical specialization in Pediatrics, focusing in pediatric critical care medicine and more than 43 years of experience. The healthcare provider is registered in the NPI registry with number 1013967744 assigned on May 2006. The practitioner's primary taxonomy code is 2080P0203X with license number ME69224 (FL). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1013967744
Provider Name
DR. EMAD S MANSOUR MD
Gender
Male
Entity Type
Individual
Location Address
9981 S HEALTHPARK DR FORT MYERS, FL 33908
Location Phone
(239) 343-5651
Location Fax
(239) 343-5652
Mailing Address
PO BOX 2147 FORT MYERS, FL 33902
Mailing Phone
(239) 343-5651
Mailing Fax
(239) 343-5652
Medical School Name
OTHER
Graduation Year
1983
Is Sole Proprietor?
No
Enumeration Date
05-11-2006
Last Update Date
03-29-2021
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A pediatrician like Emad Mansour is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Pediatric Critical Care Medicine

Taxonomy Code
2080P0203X
Type
Allopathic & Osteopathic Physicians
License No.
ME69224
License State
FL
Taxonomy Description
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

ME0069224 (FL)
2208000000XAllopathic & Osteopathic Physicians

Pediatrics

MD.11348R (LA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete VALUE Gold - HMO
  • Focused VALUE Silver - HMO
  • Focused VALUE Silver + Vision + Adult Dental - HMO
  • Standard Gold VALUE - HMO
  • Standard Silver VALUE - HMO
  • Standard Silver VALUE + Vision + Adult Dental - HMO
  • Clarity Silver - HMO
  • Clarity VALUE Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete VALUE Gold - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite VALUE Bronze - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Wellpoint Essential Bronze 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 5500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 7500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
  • Wellpoint Essential Catastrophic (+ Incentives) - HMO
  • Wellpoint Essential Gold 1400 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 2000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
  • Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 800 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
275311100MEDICAID (05)FL 

Medicare Participation & PECOS Enrollment Status

Emad Mansour is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Emad Mansour is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5799873808

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20071126000440

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1013967744, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
1
Doubled → 2
Pos 4
3
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
7
Unchanged
Pos 9
4
Doubled → 8
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 9 → 18 → 9 7 → 14 → 5 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 2 + 3 + 1 + 8 + 6 + 1 + 4 + 7 + 8 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1013967744.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics (Neonatal-Perinatal Medicine)
9981 S HEALTHPARK DR, SUITE 281
FORT MYERS, FL 33908
Clinic/Center (Ambulatory Surgical)
9981 S HEALTHPARK DR, SUITE 259
FORT MYERS, FL 33908
Nurse Practitioner (Neonatal, Critical Care)
9981 S HEALTHPARK DR, NICU
FORT MYERS, FL 33908
Radiologic Technologist (Magnetic Resonance Imaging)
9981 S HEALTHPARK DR, MRI SUITE
FORT MYERS, FL 33908
Genetic Counselor, MS
9981 S HEALTHPARK DR, SUITE 159
FORT MYERS, FL 33908
Nurse Practitioner (Neonatal)
9981 S HEALTHPARK DR
FORT MYERS, FL 33908
Nurse Practitioner (Neonatal, Critical Care)
9981 S HEALTHPARK DR
FORT MYERS, FL 33908
Pediatrics
9981 S HEALTHPARK DR
FORT MYERS, FL 33908
Pharmacist (Pharmacotherapy)
9981 S HEALTHPARK DR
FORT MYERS, FL 33908
Pharmacist
9981 S HEALTHPARK DR
FORT MYERS, FL 33908
Nurse Practitioner (Neonatal)
9981 S HEALTHPARK DR
FORT MYERS, FL 33908
Pediatrics (Neonatal-Perinatal Medicine)
9981 S HEALTHPARK DR, SUITE 30618
FORT MYERS, FL 33908
Pharmacist
9981 S HEALTHPARK DR
FORT MYERS, FL 33908
Nurse Practitioner (Neonatal)
9981 S HEALTHPARK DR
FORT MYERS, FL 33908
Pediatrics (Neonatal-Perinatal Medicine)
9981 S HEALTHPARK DR
FORT MYERS, FL 33908
Pediatrics (Pediatric Emergency Medicine)
9981 S HEALTHPARK DR
FORT MYERS, FL 33908
Physician Assistant
9981 S HEALTHPARK DR
FORT MYERS, FL 33908
Pediatrics (Neonatal-Perinatal Medicine)
9981 S HEALTHPARK DR
FORT MYERS, FL 33908
Nurse Practitioner (Neonatal)
9981 S HEALTHPARK DR
FORT MYERS, FL 33908
Pharmacy (Community/Retail Pharmacy)
9981 S HEALTHPARK DR
FORT MYERS, FL 33908

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013967744, enumerated as an "individual" on May 11, 2006.

The provider is located at 9981 S HEALTHPARK DR FORT MYERS, FL 33908 and the phone number is (239) 343-5651.

Pediatrics with taxonomy code 2080P0203X and a focus in Pediatric Critical Care Medicine.

The provider might be accepting Accepts: Ambetter from Superior HealthPlan, Ambetter. Please consult your insurance carrier or call the provider to verify.