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DR. MOHAMED MOHSEN MANSOUR M.D.
NPI 1225276488
Internal Medicine - Pulmonary Disease in East Setauket, NY

Active since January 27, 2009PECOS EnrolledAccepts Medicare Assignment
26 RESEARCH WAY, EAST SETAUKET, NY 11733(631) 444-1750(631) 444-7502 Get Directions Write a Review

NPPES record last updated: February 20, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Mohamed Mohsen Mansour M.d. NPPES

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

DR. MOHAMED MOHSEN MANSOUR M.D. (NPI 1225276488) is an individual pulmonary disease provider in East Setauket, New York, licensed in New York (250693) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Trinity Hospital, and is a graduate of Howard University College Of Medicine (2006).

NPPES Registry Identity

NPI1225276488
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. MOHAMED MOHSEN MANSOURCredential: M.D.
Location Address26 RESEARCH WAYEast Setauket, NY 11733-3526
Mailing AddressPo Box 1554Stony Brook, NY 11790-0988 · (631) 444-0650 · Fax (631) 638-4170
Phone(631) 444-1750
Fax(631) 444-7502
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 2006
Enumeration DateJanuary 27, 2009
Last NPPES UpdateFebruary 20, 2018
✔ NPI 1225276488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in NY · 250693
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 250693 (NY)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 250693 (NY), ME126865 (FL)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 250693 (NY)
26 RESEARCH WAY, East Setauket, NY 11733
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.Insurance ›

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. Mohamed Mohsen Mansour 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 ID5496931123
PECOS Enrollment IDI20161012000558
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

5

Medicare enrollment records show Mohamed Mansour reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Stony Brook Internists, University Faculty Practice Corporation
2.0 mi
Nephrology
SUNY @ STONY BROOK, HSC, L16, RM 020
Stony Brook, NY 11794
  • Reassigned Medicare billing, New York enrollment
  • 261 clinicians in this Medicare group
NPI 1215976337 (631) 444-2448
Florida Hospital Healthcare Partners, Inc
923 mi
Internal Medicine
301 MEMORIAL MEDICAL PKWY
Daytona Beach, FL 32117
  • Reassigned Medicare billing, Florida enrollment
  • 733 clinicians in this Medicare group
NPI 1780100529 (386) 231-6000
Appleton Intensivist Group, LLC
957 mi
Critical Care Medicine
1500 SW 1ST AVE
Ocala, FL 34471
  • Reassigned Medicare billing, Florida enrollment
  • 46 clinicians in this Medicare group
NPI 1407411796 (352) 351-7200
Florida Hospital Medical Group Inc
972 mi
Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 clinicians in this Medicare group
NPI 1225034234 (407) 841-1100
Intensive Care Consortium Inc
1,106 mi
Specialist
20900 BISCAYNE BLVD
Aventura, FL 33180
  • Reassigned Medicare billing, Florida enrollment
  • 287 clinicians in this Medicare group
NPI 1629019062 (561) 997-0821

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 3

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
167 services102 patients
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.
16 services16 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Hca Florida Trinity Hospital

Acute Care Hospitals · Trinity, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100191
Location9330 Sr 54Trinity, FL 34655 · Pasco County
Emergency services Birthing friendly

Hca Florida Bayonet Point Hospital

Acute Care Hospitals · Hudson, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100256
Location14000 Fivay RdHudson, FL 34667 · Pasco County
Emergency services

Hca Florida Englewood Hospital

Acute Care Hospitals · Englewood, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100267
Location700 Medical BlvdEnglewood, FL 34223 · Sarasota County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11733 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

MS. HAKSOO KIM NURSE PRACTITIONER
Nurse Practitioner (Adult Health)
26 RESEARCH WAY
EAST SETAUKET, NY 11733
Suffolk County (631) 444-0502
MS. JENNIFER M MULVEY FITZGERALD NP, CDE
Nurse Practitioner (Family)
26 RESEARCH WAY, SUITE 1
EAST SETAUKET, NY 11733
Suffolk County (914) 649-9993
DR. LEONARD ARBEIT M.D.
Internal Medicine (Nephrology)
26 RESEARCH WAY
EAST SETAUKET, NY 11733
Suffolk County (631) 444-0580
DR. EDWARD NORD M.D.
Internal Medicine (Nephrology)
26 RESEARCH WAY
EAST SETAUKET, NY 11733
Suffolk County (631) 444-0580
DR. RAJEEV BALWANT PATEL M.D.
Internal Medicine (Pulmonary Disease)
26 RESEARCH WAY
EAST SETAUKET, NY 11733
Suffolk County (631) 444-9953
DR. HAROLD CARLSON M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
26 RESEARCH WAY
EAST SETAUKET, NY 11733
Suffolk County (631) 444-0580
MRS. FATIMA SHEIKH D.O
Internal Medicine (Nephrology)
26 RESEARCH WAY
EAST SETAUKET, NY 11733
Suffolk County (631) 444-0580
DR. PETER F COHN M.D.
Internal Medicine (Cardiovascular Disease)
26 RESEARCH WAY
EAST SETAUKET, NY 11733
Suffolk County (631) 444-0580

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 Mohamed Mansour's NPI number?

The NPI number for Mohamed Mansour is 1225276488. It was assigned to this individual provider in the NPPES registry on January 27, 2009.

Where is Mohamed Mansour located?

Mohamed Mansour practices at 26 Research Way, East Setauket, NY 11733. The listed phone number is (631) 444-1750.

What is Mohamed Mansour's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Mohamed Mansour enrolled in Medicare?

Yes. Mohamed Mansour 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 Mohamed Mansour's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohamed Mansour reassigns Medicare benefits to 5 organizations: Stony Brook Internists, University Faculty Practice Corporation (Stony Brook, NY), Florida Hospital Healthcare Partners, Inc (Daytona Beach, FL), Appleton Intensivist Group, LLC (Ocala, FL), Florida Hospital Medical Group Inc (Orlando, FL) and Intensive Care Consortium Inc (Aventura, FL). 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 Mohamed Mansour's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohamed Mansour accept?

Health plans from Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Mohamed 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.

Is Mohamed Mansour affiliated with any hospitals?

According to CMS data, Mohamed Mansour is affiliated with Hca Florida Trinity Hospital, Hca Florida Bayonet Point Hospital and Hca Florida Englewood Hospital.

When was this NPI record last updated?

The NPPES record for Mohamed Mansour was last updated on February 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.