DR. FAIZMOHAMED M MANSURI MD
NPI 1194756593
Internal Medicine in Moosic, PA

Q: What is Faizmohamed Mansuri's NPI number?

The NPI number for Faizmohamed Mansuri is 1194756593. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Q: What is Faizmohamed Mansuri's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment

340 MONTAGE MOUNTAIN RD, MOOSIC, PA 18507(570) 589-0707(570) 955-1971 Get Directions Write a Review

NPPES record last updated: July 12, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Faizmohamed M Mansuri Md NPPES

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

DR. FAIZMOHAMED M MANSURI MD (NPI 1194756593) is an individual internal medicine provider in Moosic, Pennsylvania, licensed in Pennsylvania (MD427029) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1194756593

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. FAIZMOHAMED M MANSURICredential: MD

Location Address340 MONTAGE MOUNTAIN RDMoosic, PA 18507-1782

Mailing Address2 Somerset CloseMoosic, PA 18507-2110 · (570) 589-0707 · Fax (570) 955-1971

Phone(570) 589-0707

Fax(570) 955-1971

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateJuly 5, 2006

Last NPPES UpdateJuly 12, 2016

✔ NPI 1194756593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in PA · MD427029

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

340 MONTAGE MOUNTAIN RD, Moosic, PA 18507

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Other Identifiers 5

OtherMA1736698PA · Bcbs

Medicare PIN306319PA

Medicaid101437233001PA

Medicare UPINI39207

Medicare ID-Type Unspecified093918QR8PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Faizmohamed M Mansuri Md 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 ID4284666421

PECOS Enrollment IDI20050908000353

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 Faizmohamed Mansuri reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cleanslate Medical Group Of Pennsylvania LLC

13 mi

Multi-Specialty

100 N WILKES BARRE BLVD STE 103
Wilkes Barre, PA 18702

Reassigned Medicare billing, Pennsylvania enrollment
22 clinicians in this Medicare group

NPI 1184177263 (413) 584-2173

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

Hospital Affiliations CMS Care Compare 2

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

Geisinger-Community Medical Center

Acute Care Hospitals · Scranton, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390001

Location1822 Mulberry StreetScranton, PA 18510 · Lackawanna County

Emergency services Birthing friendly

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390270

Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18507 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

MRS. AMANDA LYN FIDIAM PA-C

Physician Assistant (Medical)