SAMUEL MANSOUR MD
NPI 1306894555
Emergency Medicine in Pontotoc, MS
About Samuel Mansour Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL MANSOUR MD (NPI 1306894555) is an individual emergency medicine provider in Pontotoc, Mississippi, licensed in Mississippi (9152) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Tishomingo Health Services Inc, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted 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
Samuel Mansour 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.
Medicare Billing Reassignments
7Medicare enrollment records show Samuel Mansour reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Calhoun City, MS 38916
- Reassigned Medicare billing, Mississippi enrollment
- 29 clinicians in this Medicare group
Booneville, MS 38829
- Reassigned Medicare billing, Mississippi enrollment
- 95 clinicians in this Medicare group
Booneville, MS 38829
- Reassigned Medicare billing, Mississippi enrollment
- 10 clinicians in this Medicare group
Aberdeen, MS 39730
- Reassigned Medicare billing, Mississippi enrollment
- Also billed through NPI 1285164046 (Mississippi)
- 168 clinicians in this Medicare group
Belmont, MS 38827
- Reassigned Medicare billing, Mississippi enrollment
- 35 clinicians in this Medicare group
Covington, LA 70433
- Reassigned Medicare billing, Mississippi enrollment
- 116 clinicians in this Medicare group
Maysville, KY 41056
- Reassigned Medicare billing, Mississippi enrollment
- 171 clinicians in this Medicare group
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Tishomingo Health Services Inc
Acute Care Hospitals · Iuka, MSMonroe Regional Hospital
Critical Access Hospitals · Aberdeen, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38863 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Samuel Mansour's NPI number?
The NPI number for Samuel Mansour is 1306894555. It was assigned to this individual provider in the NPPES registry on May 4, 2006.
Where is Samuel Mansour located?
Samuel Mansour practices at 176 South Main St, Pontotoc, MS 38863. The listed phone number is (662) 488-7640.
What is Samuel Mansour's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Samuel Mansour enrolled in Medicare?
Yes. Samuel 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 Samuel Mansour's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Mansour reassigns Medicare benefits to 7 organizations: Dobbs Emergency Group, LLC (Calhoun City, MS), United Emergency Services, Inc. (Booneville, MS), Northeast Ms Internal Medicine PC (Booneville, MS), Boa Vida Hospital Of Aberdeen, Ms, LLC (Aberdeen, MS), Tishomingo Health Services, Inc. (Belmont, MS) and 2 more organizations, 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 Samuel Mansour's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samuel Mansour accept?
Health plans from Blue Cross and Blue Shield of Alabama and Cigna Healthcare list Samuel 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 Samuel Mansour affiliated with any hospitals?
According to CMS data, Samuel Mansour is affiliated with Tishomingo Health Services Inc and Monroe Regional Hospital.
When was this NPI record last updated?
The NPPES record for Samuel Mansour was last updated on December 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Samuel Mansour, MD · NPI 1306894555
Emergency Medicine physician in Pontotoc, Mississippi. Individual provider, active in the CMS NPPES registry since May 4, 2006.
## Identity
- **NPI:** 1306894555 (Entity type: Individual)
- **Enumerated:** May 4, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 9152 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 176 SOUTH MAIN ST, Pontotoc, MS 38863
- **Phone:** (662) 488-7640 · **Fax:** (662) 488-7675
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Dobbs Emergency Group, LLC (NPI 1205499639, Calhoun City, MS); United Emergency Services, Inc. (NPI 1326007915, Booneville, MS); Northeast Ms Internal Medicine PC (NPI 1407831928, Booneville, MS); Boa Vida Hospital Of Aberdeen, Ms, LLC (NPI 1710405741, Aberdeen, MS); Tishomingo Health Services, Inc. (NPI 1295105922, Belmont, MS); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Mississippi School Of Medicine, class of 1980
## Record status
- **NPPES last updated:** December 20, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1306894555) · Data from the CMS NPPES public registry.