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ROYA MANSOORANI M.D.
NPI 1073641890
Pediatrics in Saint Albans, VT

Active since March 01, 2007PECOS Enrolled
11 CREST RD, SAINT ALBANS, VT 05478(802) 527-8189(802) 527-8187 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 29, 2021, Dec 23, 2021 (2 updates tracked since 2021).

About Roya Mansoorani M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROYA MANSOORANI M.D. (NPI 1073641890) is an individual pediatrics provider in Saint Albans, Vermont, licensed in Vermont (042-0009551) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073641890
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameROYA MANSOORANICredential: M.D.
Location Address11 CREST RDSaint Albans, VT 05478-9701
Mailing Address600 Blair Park Rd Ste 285Williston, VT 05495-7586 · (802) 288-1140 · Fax (802) 288-1144
Phone(802) 527-8189
Fax(802) 527-8187
Sole ProprietorNo
Enumeration DateMarch 1, 2007
Last NPPES UpdateJune 30, 20232 updates tracked since enumeration
NPPES CertifiedJune 30, 2023
✔ NPI 1073641890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in VT · 042-0009551
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X · License 0420009551 (VT)
11 CREST RD, Saint Albans, VT 05478
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Other Identifiers 2

Other38096VT · Blue Cross Blue Shield
Medicaid1006271VT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roya Mansoorani M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Roya Mansoorani reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Primary Care Health Partners - Vermont LLP
25 mi
Family Medicine
600 BLAIR PARK RD STE 285
Williston, VT 05495
  • Reassigned Medicare billing, Vermont enrollment
  • 53 clinicians in this Medicare group
NPI 1285687616 (802) 288-1140

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05478 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT HARRY TYSON M.D.
Pediatrics
11 CREST RD
SAINT ALBANS, VT 05478
Franklin County (802) 527-8189
FREDERICK C HOLMES M.D.
Pediatrics (Adolescent Medicine)
11 CREST RD
SAINT ALBANS, VT 05478
Franklin County (802) 527-8189
STACY C STROUSE M.D.
Pediatrics
11 CREST RD
SAINT ALBANS, VT 05478
Franklin County (802) 527-8189
TRACY TYSON M.D.
Pediatrics
11 CREST RD
SAINT ALBANS, VT 05478
Franklin County (802) 527-8189
HEIDI ZVOLENSKY M.D.
Pediatrics (Adolescent Medicine)
11 CREST RD
SAINT ALBANS, VT 05478
Franklin County (802) 527-8189
MOUSETRAP PEDIATRICS PC
Pediatrics (Adolescent Medicine)
11 CREST RD
SAINT ALBANS, VT 05478
Franklin County (802) 527-8189
DR. LAURA ANN BELLSTROM MD
Pediatrics
11 CREST RD
SAINT ALBANS, VT 05478
Franklin County (802) 527-8189
MEGAN STEELE OTD
Occupational Therapist (Pediatrics)
11 CREST RD
SAINT ALBANS, VT 05478
Franklin County (802) 527-8189

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roya Mansoorani's NPI number?

The NPI number for Roya Mansoorani is 1073641890. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Where is Roya Mansoorani located?

Roya Mansoorani practices at 11 Crest Rd, Saint Albans, VT 05478. The listed phone number is (802) 527-8189.

What is Roya Mansoorani's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Roya Mansoorani enrolled in Medicare?

Yes. Roya Mansoorani is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Roya Mansoorani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roya Mansoorani reassigns Medicare benefits to Primary Care Health Partners - Vermont LLP (Williston, VT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roya Mansoorani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roya Mansoorani accept?

Health plans from Anthem Blue Cross and Blue Shield list Roya Mansoorani as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roya Mansoorani was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.