MANSOUR MOHAMED ISSAM MANSOUR DO
NPI 1366002735
Emergency Medicine in Taylor, MI

Q: What is Mansour Mohamed Mansour's NPI number?

The NPI number for Mansour Mohamed Mansour is 1366002735. It was assigned to this individual provider in the NPPES registry on June 18, 2019.

Q: What is Mansour Mohamed Mansour's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since June 18, 2019PECOS EnrolledAccepts Medicare Assignment

10000 TELEGRAPH RD, TAYLOR, MI 48180(313) 295-5000 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Jun 15, 2023, Aug 5, 2022 and 2 more (5 updates tracked since 2019).

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About Mansour Mohamed Issam Mansour Do NPPES

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

MANSOUR MOHAMED ISSAM MANSOUR DO (NPI 1366002735) is an individual emergency medicine provider in Taylor, Michigan, licensed in Michigan (5151014003) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Mercy St Vincent Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1366002735

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameMANSOUR MOHAMED ISSAM MANSOURCredential: DO

Location Address10000 TELEGRAPH RDTaylor, MI 48180-3330

Mailing Address4965 Heather Dr Apt 202Dearborn, MI 48126-4175

Phone(313) 295-5000

Sole ProprietorYes

Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2019

Enumeration DateJune 18, 2019

Last NPPES UpdateSeptember 11, 20255 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2025

✔ NPI 1366002735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in MI · 5151014003✔ Licensed in OH · 34.016312

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

10000 TELEGRAPH RD, Taylor, MI 48180

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Secondary Practice Locations 3

Location 14965 Heather Dr Apt 107Dearborn, MI 48126-2862 · Phone (419) 442-1707

Location 22600 Navarre AveOregon, OH 43616-3207 · Phone (419) 696-7411

Location 33404 W Sylvania AveToledo, OH 43623-4467 · Phone (419) 407-2663

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mansour Mohamed Issam Mansour Do 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 ID8820320146

PECOS Enrollment IDI20230627003253

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.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

217 services204 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

106 services101 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

34 services32 patients

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.

28 services27 patients

Hospital Affiliations CMS Care Compare

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

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360112

Location2213 Cherry StreetToledo, OH 43608 · Lucas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48180 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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. KATHLEEN GRACE MORRISON PT, DPT

Physical Therapist