MANSURA GHANI M.D.
NPI 1639253701
Internal Medicine - Cardiovascular Disease in Springfield, IL

Active since October 25, 2006PECOS Enrolled
619 E MASON ST, SUITE 4P57, SPRINGFIELD, IL 62701(217) 788-0706(217) 525-2535 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 21, 2021, Oct 5, 2019, Apr 14, 2017 (3 updates tracked since 2017).

About Mansura Ghani M.d. NPPES

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

MANSURA GHANI M.D. (NPI 1639253701) is an individual cardiovascular disease provider in Springfield, Illinois, licensed in Illinois (036098801) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1639253701
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameMANSURA GHANICredential: M.D.
Location Address619 E MASON ST, SUITE 4P57Springfield, IL 62701-1034
Mailing Address619 E Mason St, Suite 4p57Springfield, IL 62701-1034 · (217) 788-0706 · Fax (217) 525-2535
Fax(217) 525-2535
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateOctober 25, 2006
Last NPPES UpdateDecember 21, 20213 updates tracked since enumeration
NPPES CertifiedDecember 21, 2021
✔ NPI 1639253701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in IL · 036098801
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedSpecialistTaxonomy 174400000X · License 036-098801 (IL)
619 E MASON ST, Springfield, IL 62701

Other Identifiers 2

Other060050533IL · Railroad
Medicaid036098801IL

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mansura Ghani M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375570757
PECOS Enrollment IDI20050719000179
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

10

Medicare enrollment records show Mansura Ghani reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
800 EAST CARPENTER
Springfield, IL 62769
  • Reassigned Medicare billing, Illinois enrollment
  • 53 clinicians in this Medicare group
Cardiovascular Disease
619 E MASON ST, SUITE 4P57
Springfield, IL 62701
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1982714218 (Illinois)
  • 23 clinicians in this Medicare group
Family Medicine
118 N WALNUT ST
Assumption, IL 62510
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1942326970 (Illinois)
  • 98 clinicians in this Medicare group
Critical Access
1215 FRANCISCAN DR
Litchfield, IL 62056
  • Reassigned Medicare billing, Illinois enrollment
  • 60 clinicians in this Medicare group
Critical Access
1200 E TREMONT ST
Hillsboro, IL 62049
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1821078213 (Illinois)
  • 59 clinicians in this Medicare group
Critical Access
238 S CONGRESS ST
Rushville, IL 62681
  • Reassigned Medicare billing, Illinois enrollment
  • 111 clinicians in this Medicare group
Critical Access
800 SCHOOL ST
Carrollton, IL 62016
  • Reassigned Medicare billing, Illinois enrollment
  • 37 clinicians in this Medicare group
Critical Access
650 W TAYLOR ST
Vandalia, IL 62471
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1306959689 (Illinois)
  • 121 clinicians in this Medicare group
General Acute Care Hospital
525 E GRANT ST
Macomb, IL 61455
  • Reassigned Medicare billing, Illinois enrollment
  • 55 clinicians in this Medicare group
General Acute Care Hospital
503 N MAPLE ST
Effingham, IL 62401
  • Reassigned Medicare billing, Illinois enrollment
  • 104 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.

Areas of Expertise CMS Part B claims 27

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.

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.
530 services513 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.
528 services439 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
324 services280 patients
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.
209 services79 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
179 services179 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
164 services163 patients

Hospital Affiliations CMS Care Compare 5

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

St Anthonys Memorial Hospital

Acute Care Hospitals · Effingham, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140032
Location503 N Maple StreetEffingham, IL 62401 · Effingham County
Emergency services Birthing friendly

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

Thomas H Boyd Memorial Hospital

Critical Access Hospitals · Carrollton, IL
OwnershipGovernment - Local
CMS Certification Number141300
Location800 School StCarrollton, IL 62016 · Greene County
Emergency services

Carlinville Area Hospital

Critical Access Hospitals · Carlinville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141347
Location20733 N Broad StreetCarlinville, IL 62626 · Macoupin County
Emergency services

St Francis Hospital

Critical Access Hospitals · Litchfield, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number141350
Location1215 Franciscan DrLitchfield, IL 62056 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62701 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
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

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.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
619 E MASON ST, SUITE 3P25
SPRINGFIELD, IL 62701
Specialist
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Internal Medicine (Interventional Cardiology)
619 E MASON ST
SPRINGFIELD, IL 62701
Specialist
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Nurse Practitioner (Adult Health)
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Nurse Practitioner (Adult Health)
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Physician Assistant
619 E MASON ST
SPRINGFIELD, IL 62701
Nurse Practitioner (Family)
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701

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 Mansura Ghani's NPI number?

The NPI number for Mansura Ghani is 1639253701. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Mansura Ghani located?

Mansura Ghani practices at 619 E Mason St Suite 4p57, Springfield, IL 62701. The listed phone number is (217) 788-0706.

What is Mansura Ghani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Mansura Ghani enrolled in Medicare?

Yes. Mansura Ghani is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mansura Ghani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mansura Ghani reassigns Medicare benefits to 10 organizations: St Johns Hospital Of The Hospital Sisters Of The Third Order Of St F (Springfield, IL), Prairie Cardiovascular Consultants Ltd (Springfield, IL), Pana Community Hospital Association (Assumption, IL), St Francis Hospital Of The Hospital Sisters Of The Third Order Of St F (Litchfield, IL), Hillsboro Area Hospital, Inc. (Hillsboro, IL) and 5 more organizations, listed in the Medicare section above. 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 Mansura Ghani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mansura Ghani accept?

Health plans from Ambetter Health list Mansura Ghani 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 Mansura Ghani affiliated with any hospitals?

According to CMS data, Mansura Ghani is affiliated with St Anthonys Memorial Hospital, St Johns Hospital, Thomas H Boyd Memorial Hospital, Carlinville Area Hospital and St Francis Hospital.

When was this NPI record last updated?

The NPPES record for Mansura Ghani was last updated on December 21, 2021. 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.