MUNTHIR MANSOUR
NPI 1548675028
Internal Medicine in Little Rock, AR

Active since June 24, 2014PECOS EnrolledAccepts Medicare Assignment
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205(501) 686-8000 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2022, Sep 18, 2017 (2 updates tracked since 2017).

About Munthir Mansour NPPES

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

MUNTHIR MANSOUR (NPI 1548675028) is an individual internal medicine provider in Little Rock, Arkansas, licensed in Arkansas (E-10798) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and is a graduate of Jc Edwards School Of Medicine, Marshall University (2017).

NPPES Registry Identity

NPI1548675028
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMUNTHIR MANSOUR
Location Address4301 W MARKHAM ST # 783Little Rock, AR 72205-7101
Mailing Address4301 W Markham St # 783Little Rock, AR 72205-7101 · (501) 686-8000
Sole ProprietorNo
Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 2017
Enumeration DateJune 24, 2014
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1548675028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AR · E-10798
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4301 W MARKHAM ST # 783, Little Rock, AR 72205

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

Munthir Mansour 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 ID3779702295
PECOS Enrollment IDI20170822003667
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 Reassignment

Medicare enrollment records show Munthir Mansour reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
1701 CLUB MANOR DR STE 2B
Maumelle, AR 72113
  • Reassigned Medicare billing, Arkansas enrollment
  • 96 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72205 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

Optometrist
4301 W MARKHAM ST # 783
LITTLE ROCK, AR 72205
Social Worker
4301 W MARKHAM ST # 783
LITTLE ROCK, AR 72205
Nurse Practitioner (Family)
4301 W MARKHAM ST # 783
LITTLE ROCK, AR 72205
Internal Medicine (Interventional Cardiology)
4301 W MARKHAM ST # 783
LITTLE ROCK, AR 72205
Internal Medicine (Nephrology)
4301 W MARKHAM ST # 783
LITTLE ROCK, AR 72205
Pathology (Anatomic Pathology & Clinical Pathology)
4301 W MARKHAM ST # 783
LITTLE ROCK, AR 72205
Psychiatry & Neurology (Psychiatry)
4301 W MARKHAM ST # 783
LITTLE ROCK, AR 72205
Advanced Practice Midwife
4301 W MARKHAM ST # 783
LITTLE ROCK, AR 72205

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 Munthir Mansour's NPI number?

The NPI number for Munthir Mansour is 1548675028. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Where is Munthir Mansour located?

Munthir Mansour practices at 4301 W Markham St # 783, Little Rock, AR 72205. The listed phone number is (501) 686-8000.

What is Munthir Mansour's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Munthir Mansour enrolled in Medicare?

Yes. Munthir 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 organization bills Medicare for Munthir Mansour's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Munthir Mansour reassigns Medicare benefits to Arkansas Health Group (Maumelle, AR). The 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 Munthir Mansour's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Munthir Mansour accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Munthir 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.

When was this NPI record last updated?

The NPPES record for Munthir Mansour was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.