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DR. MANSUR E. SHOMALI M.D.
NPI 1194789370
Internal Medicine - Endocrinology, Diabetes & Metabolism in Baltimore, MD

Active since April 14, 2006PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
200 E 33RD ST, 33RD ST PROF BLDG, STE 551, BALTIMORE, MD 21218(410) 554-4511(410) 554-6490 Get Directions Write a Review

NPPES record last updated: December 9, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Mansur E. Shomali M.d. NPPES

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

DR. MANSUR E. SHOMALI M.D. (NPI 1194789370) is an individual endocrinology, diabetes & metabolism provider in Baltimore, Maryland, licensed in Maryland (D0058521) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Medstar Franklin Square Medical Center, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1194789370
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. MANSUR E. SHOMALICredential: M.D.
Location Address200 E 33RD ST, 33RD ST PROF BLDG, STE 551Baltimore, MD 21218-3322
Mailing Address200 E 33rd St, 33rd St Prof Bldg, Ste 551Baltimore, MD 21218-3322 · (410) 554-4511 · Fax (410) 554-6490
Phone(410) 554-4511
Fax(410) 554-6490
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateApril 14, 2006
Last NPPES UpdateDecember 9, 2016
✔ NPI 1194789370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in MD · D0058521
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
200 E 33RD ST, Baltimore, MD 21218
Open in Google Maps ↗

Other Identifiers 5

Medicare UPING95455
Medicare PINS051E939MD
Medicaid4344511-00MD
Medicare PIN460003737MD
Other616179-02 & 03MD · Blue Cross/blue Shield

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. Mansur E. Shomali 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 ID6305039967
PECOS Enrollment IDI20101015000387
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

2

Medicare enrollment records show Mansur Shomali reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medstar Medical Group II LLC
2.5 mi
General Practice
5601 LOCH RAVEN BLVD, RUSSELL MORGAN BLDG 3RD FL
Baltimore, MD 21239
  • Reassigned Medicare billing, Maryland enrollment
  • 2,602 clinicians in this Medicare group
NPI 1184046187 (443) 444-5606
Welldoc, Inc.
15 mi
Health Educator
10221 WINCOPIN CIRCLE, SUITE 150 & SUITE 250
Columbia, MD 21044
  • Reassigned Medicare billing, Maryland enrollment
NPI 1144864489 (443) 692-3100

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

Areas of Expertise CMS Part B claims 6

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.

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.
178 services113 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
54 services45 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.
18 services13 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services13 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.
16 services16 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Medstar Franklin Square Medical Center

Acute Care Hospitals · Rosedale, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210015
Location9000 Franklin Square DriveRosedale, MD 21237 · Baltimore County
Emergency services Birthing friendly

Medstar Union Memorial Hospital

Acute Care Hospitals · Baltimore, MD
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210024
Location201 East University ParkwayBaltimore, MD 21218 · Baltimore City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21218 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
25 suppliers64 claims214 services$6.02 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers26 claims46 services$0.97 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
2 suppliers13 claims13 services$305.99 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
10 suppliers228 claims228 services$190.05 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.

MICHAEL A WHITE DDS
Dentist
200 E 33RD ST, SUITE 284
BALTIMORE, MD 21218
Baltimore City (410) 235-0062
SHANNON HAHN
Audiologist
200 E 33RD ST
BALTIMORE, MD 21218
Baltimore City (410) 554-4455
ARASH KHOIE MD
Anesthesiology (Pain Medicine)
200 E 33RD ST, SUITE 425
BALTIMORE, MD 21218
Baltimore City (410) 554-6497
SASHA PHILLIPS
Audiologist (Assistive Technology Practitioner)
200 E 33RD ST
BALTIMORE, MD 21218
Baltimore City (410) 554-2168
ALLAN D. JENSEN M.D., P.A.
Ophthalmology
200 E 33RD ST, SUITE 426
BALTIMORE, MD 21218
Baltimore City (410) 235-1133
MICHAEL ANTHONY RANDOLPH M.D.
Internal Medicine
200 E 33RD ST, SUITE 136
BALTIMORE, MD 21218
Baltimore City (410) 554-6489
MICHAEL A. RANDOLPH, MD PC
Internal Medicine
200 E 33RD ST, SUITE 136
BALTIMORE, MD 21218
Baltimore City (410) 261-8997
JUNE F COMPTON CRNP
Specialist
200 E 33RD ST, SUITE 551
BALTIMORE, MD 21218
Baltimore City (410) 828-8100

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 Mansur Shomali's NPI number?

The NPI number for Mansur Shomali is 1194789370. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Where is Mansur Shomali located?

Mansur Shomali practices at 200 E 33rd St 33rd St Prof Bldg, Ste 551, Baltimore, MD 21218. The listed phone number is (410) 554-4511.

What is Mansur Shomali's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Mansur Shomali enrolled in Medicare?

Yes. Mansur Shomali is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mansur Shomali's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mansur Shomali reassigns Medicare benefits to 2 organizations: Medstar Medical Group II LLC (Baltimore, MD) and Welldoc, Inc. (Columbia, MD). 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 Mansur Shomali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Mansur Shomali affiliated with any hospitals?

According to CMS data, Mansur Shomali is affiliated with Medstar Franklin Square Medical Center and Medstar Union Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Mansur Shomali was last updated on December 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.