1. Home
  2. Directory
  3. Virginia
  4. Roanoke
  5. Pediatrics
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. AYMAN MOHAMMED OMAR MANSOUR M.D.
NPI 1124223722
Pediatrics in Roanoke, VA

Active since June 15, 2007PECOS Enrolled
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014(540) 224-4635 Get Directions Write a Review

NPPES record last updated: September 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 8, 2026, Jul 30, 2026, May 29, 2026 and 5 more (8 updates tracked since 2022).

About Dr. Ayman Mohammed Omar Mansour M.d. NPPES

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

DR. AYMAN MOHAMMED OMAR MANSOUR M.D. (NPI 1124223722) is an individual pediatrics provider in Roanoke, Virginia, licensed in Virginia (0101287607) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, maintains 7 additional practice locations, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1124223722
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. AYMAN MOHAMMED OMAR MANSOURCredential: M.D.
Location Address1906 BELLEVIEW AVE SERoanoke, VA 24014-1838
Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713
Phone(540) 224-4635
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJune 15, 2007
Last NPPES UpdateSeptember 8, 20268 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2026
✔ NPI 1124223722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in VA · 0101287607✔ Licensed in NC · 2026-01673✔ Licensed in NJ · 25MA08360200✔ Licensed in PA · MD448187
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.
1906 BELLEVIEW AVE SE, Roanoke, VA 24014
Open in Google Maps ↗

Secondary Practice Locations 7

Location 1501 S Poplar StElizabethtown, NC 28337-9375 · Phone (910) 672-0350
Location 21638 Owen DrFayetteville, NC 28304-3424 · Phone (910) 615-4000
Location 3100 Madison AveMorristown, NJ 07960-6136 · Phone (973) 971-7550 · Fax (973) 290-2388
Location 4300A E McKay StElizabethtown, NC 28337-9037 · Phone (910) 862-5500
Location 56311 Richmond HwyAlexandria, VA 22306-6410 · Phone (703) 647-6087
Location 6111 S Front StHarrisburg, PA 17101-2010 · Phone (717) 231-8772
Location 740 Mayfair CtBrick, NJ 08723-6361 · Phone (609) 495-4826

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ayman Mohammed Omar Mansour M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709038409
PECOS Enrollment IDI20251230003705, I20260102001312, I20260618003110
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 Reassignments

6

Medicare enrollment records show Ayman Mansour reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carilion Medical Center
Same address
Multi-Specialty
1906 BELLEVIEW AVE SE
Roanoke, VA 24014
  • Reassigned Medicare billing, Virginia enrollment
  • 1,207 clinicians in this Medicare group
NPI 1730123472 (540) 981-7000
Patient First Richmond Medical Group PLLC
134 mi
Family Medicine
5000 COX RD, SUITE 100
Glen Allen, VA 23060
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 263 clinicians in this Medicare group
NPI 1689603748 (804) 822-4355
Bladen Healthcare, LLC
191 mi
Rural Health
16 3RD ST
Dublin, NC 28332
  • Reassigned Medicare billing, North Carolina enrollment
  • 170 clinicians in this Medicare group
NPI 1114193695 (910) 862-3528
Pinnacle Health Medical Services
223 mi
Orthopaedic Surgery
144 S 8TH ST STE 107
Chambersburg, PA 17201
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,902 clinicians in this Medicare group
NPI 1417558008 (717) 414-7798
Lakewood Resource And Referral Center, Inc.
363 mi
Federally Qualified Health Center (FQHC)
275 S HOPE CHAPEL RD
Jackson, NJ 08527
  • Reassigned Medicare billing, New Jersey enrollment
  • 149 clinicians in this Medicare group
NPI 1124844816 (732) 364-2144
Practice Associates Medical Group
383 mi
Internal Medicine
100 MADISON AVENUE, INTEROFFICE #68
Morristown, NJ 07960
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,699 clinicians in this Medicare group
NPI 1427016385 (844) 264-2250

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 24014 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 20

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

JOHN K THOMPSON PA-C, ATC
Physician Assistant
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
DR. JAMES LIGHT MD
Anesthesiology
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
SUJINA PRADHAN M.D.
Family Medicine
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
DR. SAMMY ZAKI ELSARRAG M.D.
Anesthesiology
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
NIMA JAHROMI DO
Student in an Organized Health Care Education/Training Program
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
TAYLOR ALEXIS KEYS
Student in an Organized Health Care Education/Training Program
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
NATHAN WILLIAM WAKEFIELD
Student in an Organized Health Care Education/Training Program
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
ASHLYN BROOKE CONRAD
Nurse Practitioner
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000

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 Ayman Mansour's NPI number?

The NPI number for Ayman Mansour is 1124223722. It was assigned to this individual provider in the NPPES registry on June 15, 2007.

Where is Ayman Mansour located?

Ayman Mansour practices at 1906 Belleview Ave SE, Roanoke, VA 24014. The listed phone number is (540) 224-4635.

What is Ayman Mansour's specialty?

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

Is Ayman Mansour enrolled in Medicare?

Yes. Ayman Mansour is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ayman Mansour's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ayman Mansour reassigns Medicare benefits to 6 organizations: Carilion Medical Center (Roanoke, VA), Patient First Richmond Medical Group PLLC (Glen Allen, VA), Bladen Healthcare, LLC (Dublin, NC), Pinnacle Health Medical Services (Chambersburg, PA), Lakewood Resource And Referral Center, Inc. (Jackson, NJ) and 1 more organization, listed in the Medicare section above. Each 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 Ayman Mansour's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ayman Mansour accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Cigna Healthcare and 2 other insurers list Ayman Mansour 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 Ayman Mansour was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.