MIRIAM IBRAHIM MANSOUR MD
NPI 1326308743
Student in an Organized Health Care Education/Training Program in Kalamazoo, MI

Q: What is Miriam Mansour's NPI number?

The NPI number for Miriam Mansour is 1326308743. It was assigned to this individual provider in the NPPES registry on May 18, 2012.

Q: What is Miriam Mansour's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Miriam Mansour was last updated on May 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since May 18, 2012PECOS Enrolled

1000 OAKLAND DR, KALAMAZOO, MI 49008(269) 337-4400 Get Directions Write a Review

NPPES record last updated: May 18, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Miriam Ibrahim Mansour Md NPPES

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

MIRIAM IBRAHIM MANSOUR MD (NPI 1326308743) is an individual student in an organized health care education/training program in Kalamazoo, Michigan, licensed in Michigan (4301100685) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326308743

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMIRIAM IBRAHIM MANSOURCredential: MD

Location Address1000 OAKLAND DRKalamazoo, MI 49008-1282

Mailing Address1000 Oakland DrKalamazoo, MI 49008-1282 · (269) 337-4400

Phone(269) 337-4400

Sole ProprietorNo

Enumeration DateMay 18, 2012

✔ NPI 1326308743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in MI · 4301100685

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 4301100685 (MI)

1000 OAKLAND DR, Kalamazoo, MI 49008

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miriam Ibrahim Mansour Md 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.

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.

ANDREW MATTINGLY MD

Student in an Organized Health Care Education/Training Program