DR. IZZUDDIN ALI MANSUR M.D.
NPI 1508828344
Urology in Crossville, TN

Q: What is Izzuddin Mansur's NPI number?

The NPI number for Izzuddin Mansur is 1508828344. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Q: What is Izzuddin Mansur's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Izzuddin Mansur was last updated on June 14, 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.

Active since April 05, 2006PECOS EnrolledAccepts Medicare Assignment

65.01/100

CMS Quality Rating

49 CLEVELAND ST, SUITE 220, CROSSVILLE, TN 38555(931) 707-8050(931) 707-8048 Get Directions Write a Review

NPPES record last updated: June 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 14, 2021, Jan 29, 2021 (2 updates tracked since 2021).

On this page

About Dr. Izzuddin Ali Mansur M.d. NPPES

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

DR. IZZUDDIN ALI MANSUR M.D. (NPI 1508828344) is an individual urology provider in Crossville, Tennessee, licensed in Tennessee (MD30604) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Cumberland Medical Center, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1508828344

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. IZZUDDIN ALI MANSURCredential: M.D.

Location Address49 CLEVELAND ST, SUITE 220Crossville, TN 38555-2855

Mailing Address49 Cleveland St, Suite 220Crossville, TN 38555-2855 · (931) 707-8050 · Fax (931) 707-8048

Phone(931) 707-8050

Fax(931) 707-8048

Sole ProprietorYes

Medical School CMSOtherGraduated 1979

Enumeration DateApril 5, 2006

Last NPPES UpdateJune 14, 20212 updates tracked since enumeration

NPPES CertifiedJune 14, 2021

✔ NPI 1508828344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in TN · MD30604

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

49 CLEVELAND ST, Crossville, TN 38555

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Other Identifiers 1

MedicaidQ063406TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.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

Dr. Izzuddin Ali Mansur 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 ID3375630890

PECOS Enrollment IDI20071031000345

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 12

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.

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

562 services352 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

389 services266 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

183 services153 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

75 services66 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

27 services24 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

26 services22 patients

Dilation of urethra using an endoscope 52281

This procedure involves expanding a narrow passage in your urinary tract with the help of a special instrument called an endoscope. It aids in improving urine flow and resolving related issues, ensuring better urinary health.

24 services23 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

18 services18 patients

Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope 52601

This procedure involves the careful removal of a small gland located in the lower body using a special heated knife, inserted through a natural body passage. An endoscope, a thin tube with a light and camera, helps to manage any bleeding. The aim is to alleviate discomfort and improve overall health.

17 services17 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

17 services17 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

16 services16 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

12 services11 patients

Hospital Affiliations CMS Care Compare

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

Cumberland Medical Center

Acute Care Hospitals · Crossville, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440009

Location421 S Main StCrossville, TN 38555 · Cumberland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38555 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

65.01/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

94.62

Promoting Interoperability

Improvement Activities

Cost

72.1

Reported Quality Measures

Breast Cancer Screening

76%89 patients4/55-star benchmark: 93%

Controlling High Blood Pressure

83%188 patients4/55-star benchmark: 91%

e-Prescribing

100%184 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

98%724 patients4/55-star benchmark: 100%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

96%851 patients4/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

40%843 patients3/55-star benchmark: 61%

Provide Patients Electronic Access to Their Health Information

100%452 patients5/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

79%354 patients4/55-star benchmark: 91%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

4 suppliers31 claims7,490 services$1.47 avg. paid by Medicare

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

1 supplier12 claims360 services$4.99 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

5 suppliers20 claims50 services$7.63 avg. paid by Medicare

Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each A4393

DME-Orthotic Devices · category DF010N

2 suppliers11 claims140 services$7.78 avg. paid by Medicare

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394

DME-Orthotic Devices · category DF010N

2 suppliers11 claims168 services$2.26 avg. paid by Medicare

Lubricant, per ounce A4402

DME-Orthotic Devices · category DF010N

2 suppliers11 claims44 services$0.83 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CROSSVILLE MEDICAL ONCOLOGY PC

Specialist

49 CLEVELAND ST, SUITE 340
CROSSVILLE, TN 38555

Cumberland County (931) 707-8808

TENNESSEE PHYSICIAN CONSULTANTS, PC

Orthopaedic Surgery

49 CLEVELAND ST
CROSSVILLE, TN 38555

Cumberland County (931) 787-1835

MILLIGAN SURGICAL CLINIC

Surgery

49 CLEVELAND ST, STE 310
CROSSVILLE, TN 38555

Cumberland County (931) 787-1940

RABIH A HIJAZI MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

49 CLEVELAND ST, SUITE 350
CROSSVILLE, TN 38555

Cumberland County (931) 456-5184

JOHN LESLIE MILLIGAN MD

Surgery

49 CLEVELAND ST, SUITE 310
CROSSVILLE, TN 38555

Cumberland County (931) 787-1940

THE GROUP FOR WOMEN LLC

Obstetrics & Gynecology

49 CLEVELAND ST, SUITE 230
CROSSVILLE, TN 38555

Cumberland County (931) 456-4500

SAMUEL WISCO ONG M.D.

Internal Medicine (Cardiovascular Disease)

49 CLEVELAND ST, STE. 250
CROSSVILLE, TN 38555

Cumberland County (931) 484-8100

MRS. MARGARET D WILSON FNP

Nurse Practitioner (Family)

49 CLEVELAND ST, SUITE 270
CROSSVILLE, TN 38555

Cumberland County (931) 484-7596

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 Izzuddin Mansur's NPI number?

The NPI number for Izzuddin Mansur is 1508828344. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Izzuddin Mansur located?

Izzuddin Mansur practices at 49 Cleveland St Suite 220, Crossville, TN 38555. The listed phone number is (931) 707-8050.

What is Izzuddin Mansur's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Izzuddin Mansur enrolled in Medicare?

Yes. Izzuddin Mansur 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.

What insurance does Izzuddin Mansur accept?

Health plans from BlueCross BlueShield of Tennessee list Izzuddin Mansur 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 Izzuddin Mansur affiliated with any hospitals?

According to CMS data, Izzuddin Mansur is affiliated with Cumberland Medical Center.

When was this NPI record last updated?

The NPPES record for Izzuddin Mansur was last updated on June 14, 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.