MANSOOR I. TIWANA M.D.
NPI 1073718466
Internal Medicine - Nephrology in Louisville, KY

Q: What is Mansoor Tiwana's NPI number?

The NPI number for Mansoor Tiwana is 1073718466. It was assigned to this individual provider in the NPPES registry on June 18, 2007.

Q: What is Mansoor Tiwana's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Mansoor Tiwana was last updated on July 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 18, 2007PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

200 E CHESTNUT ST BLDG SUITE303, LOUISVILLE, KY 40202(502) 629-5552 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 28, 2022, Oct 27, 2020, Mar 11, 2020 and 2 more (5 updates tracked since 2019).

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About Mansoor I. Tiwana M.d. NPPES

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

MANSOOR I. TIWANA M.D. (NPI 1073718466) is an individual nephrology provider in Louisville, Kentucky, licensed in Kentucky (44189) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with T J Samson Community Hospital, and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1073718466

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameMANSOOR I. TIWANACredential: M.D.

Location Address200 E CHESTNUT ST BLDG SUITE303Louisville, KY 40202

Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116

Phone(502) 629-5552

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateJune 18, 2007

Last NPPES UpdateJuly 28, 20225 updates tracked since enumeration

NPPES CertifiedJuly 28, 2022

✔ NPI 1073718466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in KY · 44189

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License 01072444A (IN), MD432054 (PA), 44189 (KY)

Also ListedHospitalistTaxonomy 208M00000X · License MD432054 (PA)

200 E CHESTNUT ST BLDG SUITE303, Louisville, KY 40202

Open in Google Maps ↗

Secondary Practice Location 1

Location 1234 E Gray St, Suite 858Louisville, KY 40202-1900 · Phone (502) 583-1799 · Fax (502) 583-1792

Other Identifiers 13

Other1973534PA · Highmark Blue Shield

Medicaid7100177580KY

Medicaid1019486730002PA

Other44189KY · Ky License

Other000000609439KY · Anthem

Medicaid1019486730001PA

Medicaid1019486730003PA

Other1747437PA · Aetna

Other2852822000PA · Personal Choice

Other2852822000PA · Keystone Ibc

Other30043623PA · Keystone Mercy

Other34935,34936,34937PA · Health Partners

Other01072444AIN · Indiana License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mansoor I. Tiwana M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567563877

PECOS Enrollment IDI20070730000829, I20130709000715, I20130912000247

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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

879 services248 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

189 services181 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

185 services177 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

180 services173 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

172 services116 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

160 services58 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

T J Samson Community Hospital

Acute Care Hospitals · Glasgow, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number180017

Location1301 North Race StreetGlasgow, KY 42141 · Barren County

Emergency services Birthing friendly

Baptist Health Richmond

Acute Care Hospitals · Richmond, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180049

Location801 Eastern BypassRichmond, KY 40475 · Madison County

Emergency services Birthing friendly

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180088

Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County

Emergency services Birthing friendly

Frankfort Regional Medical Center

Acute Care Hospitals · Frankfort, KY

1/5 CMS rating

OwnershipProprietary

CMS Certification Number180127

Location299 Kings Daughters DriveFrankfort, KY 40601 · Franklin County

Emergency services

Roxborough Memorial Hospital

Acute Care Hospitals · Philadelphia, PA

4/5 CMS rating

OwnershipProprietary

CMS Certification Number390304

Location5800 Ridge AvePhiladelphia, PA 19128 · Philadelphia County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

83%281 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

8 suppliers156 claims156 services$16.59 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers21 claims21 services$5.28 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

9 suppliers172 claims172 services$89.31 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

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