CHARLES THOMAS MANSOUR MD
NPI 1629711700
Internal Medicine in Fairhope, AL

Q: What is Charles Mansour's NPI number?

The NPI number for Charles Mansour is 1629711700. It was assigned to this individual provider in the NPPES registry on April 18, 2022.

Q: What is Charles Mansour's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Charles Mansour was last updated on August 6, 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 April 18, 2022PECOS EnrolledAccepts Medicare Assignment

750 MORPHY AVE, FAIRHOPE, AL 36532(251) 435-7289 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 6, 2025, Apr 18, 2022 (2 updates tracked since 2022).

On this page

About Charles Thomas Mansour Md NPPES

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

CHARLES THOMAS MANSOUR MD (NPI 1629711700) is an individual internal medicine provider in Fairhope, Alabama, licensed in Alabama (48231) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In New Orleans (2020).

NPPES Registry Identity

NPI1629711700

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameCHARLES THOMAS MANSOURCredential: MD

Location Address750 MORPHY AVEFairhope, AL 36532-1812

Mailing Address750 Morphy AveFairhope, AL 36532-1812 · (251) 435-7289

Phone(251) 435-7289

Sole ProprietorNo

Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2020

Enumeration DateApril 18, 2022

Last NPPES UpdateAugust 6, 20252 updates tracked since enumeration

NPPES CertifiedAugust 6, 2025

✔ NPI 1629711700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in AL · 48231

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

750 MORPHY AVE, Fairhope, AL 36532

Open in Google Maps ↗

Other Identifiers 1

Other000000000AL · Na

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, HMO Louisiana, UnitedHealthcare.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

Charles Thomas 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 ID7012417389

PECOS Enrollment IDI20250821002243

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

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

Gulf Health Hospitals, Inc.

0.1 mi

Internal Medicine

188 HOSPITAL DR STE 402
Fairhope, AL 36532

Reassigned Medicare billing, Alabama enrollment
21 clinicians in this Medicare group

NPI 1194335877 (251) 435-5037

Imc-Hospitalists LLC

17 mi

Hospitalist

5 MOBILE INFIRMARY CIR
Mobile, AL 36607

Reassigned Medicare billing, Alabama enrollment
144 clinicians in this Medicare group

NPI 1669824934 (251) 435-2400

Apogee Medical Group, Louisiana, Inc.

1,423 mi

Specialist

15059 N SCOTTSDALE ROAD, SUITE 600
Scottsdale, AZ 85254

Reassigned Medicare billing, Louisiana enrollment
104 clinicians in this Medicare group

NPI 1932347903 (602) 778-3600

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 36532 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

$122.31 typical visit price

range $52.65 – $161.63

Typical copayment $30.57 (range $13.16 – $40.40)

Most-billed visit code 99204

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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.

DR. PAUL BRYANT GLISSON D.O.

Emergency Medicine