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MARYANN B MANSOUR M.D.
NPI 1477998482
Pediatrics - Pediatric Emergency Medicine in Bronx, NY

Active since May 03, 2013PECOS Enrolled
1650 GRAND CONCOURSE, BRONX, NY 10457(718) 992-7669 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Maryann B Mansour M.d. NPPES

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

MARYANN B MANSOUR M.D. (NPI 1477998482) is an individual pediatric emergency medicine provider in Bronx, New York, licensed in New York (285161) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1477998482
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameMARYANN B MANSOURCredential: M.D.
Location Address1650 GRAND CONCOURSEBronx, NY 10457-7606
Mailing Address1276 Fulton AveBronx, NY 10456-3402 · (718) 992-7669
Phone(718) 992-7669
Sole ProprietorYes
Enumeration DateMay 3, 2013
Last NPPES UpdateMay 25, 2021
NPPES CertifiedMay 25, 2021
✔ NPI 1477998482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in NY · 285161
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
1650 GRAND CONCOURSE, Bronx, NY 10457
Open in Google Maps ↗

Secondary Practice Location 1

Location 1450 Clarkson Ave # 24Brooklyn, NY 11203-2012 · Phone (718) 270-1000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maryann B Mansour M.d. 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Maryann Mansour reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bronxcare Health System
Same address
Internal Medicine
1650 GRAND CONCOURSE
Bronx, NY 10457
  • Reassigned Medicare billing, New York enrollment
  • 795 clinicians in this Medicare group
NPI 1245390855 (718) 901-8600
Coney Island Medical Practice Plan, P.C.
18 mi
General Practice
2601 OCEAN PKWY
Brooklyn, NY 11235
  • Reassigned Medicare billing, New York enrollment
  • 638 clinicians in this Medicare group
NPI 1386951762 (718) 616-5354
New York University
1,046 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

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

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.

CASSIE LAUREN GREEN M.S., CCC-SLP
Speech-Language Pathologist
1650 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (201) 281-3781
ARAMARK
Clinic/Center
1650 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (646) 641-7427
MAY YEE HELMAN M.D.
Emergency Medicine
1650 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (718) 992-7669
ANDREA ELIZABETH SPIEKHOUT D.O.
Family Medicine
1650 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (718) 992-7669
VINCENT SETIAWAN PRAWOKO MD
Student in an Organized Health Care Education/Training Program
1650 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (347) 601-1241
HAIDER GHAZANFAR
Internal Medicine (Gastroenterology)
1650 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (917) 856-6383
MATTHEW PEACHEY MD
Internal Medicine
1650 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (718) 992-7669
TRACY RAU MD
Family Medicine
1650 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (718) 590-1800

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 Maryann Mansour's NPI number?

The NPI number for Maryann Mansour is 1477998482. It was assigned to this individual provider in the NPPES registry on May 3, 2013.

Where is Maryann Mansour located?

Maryann Mansour practices at 1650 Grand Concourse, Bronx, NY 10457. The listed phone number is (718) 992-7669.

What is Maryann Mansour's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Maryann Mansour enrolled in Medicare?

Yes. Maryann Mansour is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Maryann Mansour's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maryann Mansour reassigns Medicare benefits to 3 organizations: Bronxcare Health System (Bronx, NY), Coney Island Medical Practice Plan, P.C. (Brooklyn, NY) and New York University (Boynton Beach, 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 Maryann Mansour's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Maryann Mansour was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.