IBRAHIM NAIM MANSOUR MD
NPI 1619076619
Internal Medicine - Interventional Cardiology in Dekalb, IL

Q: What is Ibrahim Mansour's NPI number?

The NPI number for Ibrahim Mansour is 1619076619. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Q: What is Ibrahim Mansour's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Ibrahim Mansour was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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 September 22, 2006PECOS EnrolledAccepts Medicare Assignment

5 KISH HOSPITAL DR STE 103, DEKALB, IL 60115(630) 232-0280(630) 232-3895 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 20, 2025, Sep 18, 2020, Sep 10, 2020 and 1 more (4 updates tracked since 2019).

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About Ibrahim Naim Mansour Md NPPES

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

IBRAHIM NAIM MANSOUR MD (NPI 1619076619) is an individual interventional cardiology provider in Dekalb, Illinois, licensed in Illinois (036116574) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Witham Health Services, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619076619

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameIBRAHIM NAIM MANSOURCredential: MD

Location Address5 KISH HOSPITAL DR STE 103Dekalb, IL 60115-9602

Mailing Address5 Kish Hospital Dr Ste 103Dekalb, IL 60115-9602 · (630) 232-0280 · Fax (630) 232-3895

Phone(630) 232-0280

Fax(630) 232-3895

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateSeptember 22, 2006

Last NPPES UpdateMay 20, 20254 updates tracked since enumeration

NPPES CertifiedMay 20, 2025

✔ NPI 1619076619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

Licenses✔ Licensed in IL · 036116574✔ Licensed in IN · 01064591A

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 036-116574 (IL)

Also ListedFamily MedicineTaxonomy 207Q00000X · License 036116574 (IL)

Also ListedInternal MedicineTaxonomy 207R00000X · License 4301095391 (MI)

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 036116574 (IL)

5 KISH HOSPITAL DR STE 103, Dekalb, IL 60115

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Secondary Practice Locations 2

Location 1601 W Kieffer RdMichigan City, IN 46360-9599 · Phone (219) 878-3217

Location 2840 S Wood St # Mc715Chicago, IL 60612-4325 · Phone (312) 996-9086

Other Identifiers 2

Medicaid036116574IL

Other3932056IL · Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Medica, Quartz.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

Ibrahim Naim Mansour Md 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 ID547365397

PECOS Enrollment IDI20070424000048, I20181018003279, I20250122001096

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

57 services39 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

53 services53 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.

36 services36 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Witham Health Services

Acute Care Hospitals · Lebanon, IN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number150104

Location2605 N Lebanon StLebanon, IN 46052 · Boone County

Emergency services Birthing friendly

Via Christi Hospital Pittsburg Inc

Acute Care Hospitals · Pittsburg, KS

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number170006

Location1 Mt Carmel WayPittsburg, KS 66762 · Crawford County

Emergency services Birthing friendly

Girard Medical Center

Critical Access Hospitals · Girard, KS

OwnershipGovernment - Hospital District or Authority

CMS Certification Number171376

Location302 North Hospital DriveGirard, KS 66743 · Crawford County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60115 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 7

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

EMILY ANNE GREAVES FNP

Nurse Practitioner