DR. RAFAT M MANSOUR DDS
NPI 1194715011
Dentist - General Practice in Albuquerque, NM

Active since October 21, 2005PECOS Enrolled
1010 BRIDGE BLVD SW, SUITE E, ALBUQUERQUE, NM 87105(505) 877-0435 Get Directions Write a Review

NPPES record last updated: May 25, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Rafat M Mansour Dds NPPES

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

DR. RAFAT M MANSOUR DDS (NPI 1194715011) is an individual general practice provider in Albuquerque, New Mexico, licensed in New Mexico (DD2103) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194715011
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. RAFAT M MANSOURCredential: DDS
Location Address1010 BRIDGE BLVD SW, SUITE EAlbuquerque, NM 87105-3765
Mailing Address1010 Bridge Blvd Sw, Suite EAlbuquerque, NM 87105-3765
Sole ProprietorNo
Enumeration DateOctober 21, 2005
Last NPPES UpdateMay 25, 2011
NPI 1194715011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NM · DD2103
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1010 BRIDGE BLVD SW, Albuquerque, NM 87105

Other Names 1

Other Name (5)Ray Mansour

Other Identifiers 1

Medicaid1002823NM

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Rafat M Mansour Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87105 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
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 7

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

Physician Assistant (Medical)
1010 BRIDGE BLVD SW, SUITE B
ALBUQUERQUE, NM 87105
Pharmacy (Community/Retail Pharmacy)
1010 BRIDGE BLVD SW
ALBUQUERQUE, NM 87105
Dentist
1010 BRIDGE BLVD SW, SUITE C
ALBUQUERQUE, NM 87105
Dentist (General Practice)
1010 BRIDGE BLVD SW, STE F
ALBUQUERQUE, NM 87105
Family Medicine
1010 BRIDGE BLVD SW, SUITE A
ALBUQUERQUE, NM 87105
Family Medicine
1010 BRIDGE BLVD SW, SUITE B
ALBUQUERQUE, NM 87105
Clinic/Center
1010 BRIDGE BLVD SW
ALBUQUERQUE, NM 87105

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194715011, enumerated as an "individual" on October 21, 2005.

The provider is located at 1010 BRIDGE BLVD SW SUITE E ALBUQUERQUE, NM 87105 and the phone number is (505) 877-0435.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.