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MR. ASIFHUSEN ABDULRAHIM MANSURI M.D.
NPI 1699109579
Pediatrics - Pediatric Nephrology in Augusta, GA

Active since August 27, 2013PECOS EnrolledAccepts Medicare Assignment
1120 15TH ST, AUGUSTA, GA 30912(706) 721-8623 Get Directions Write a Review

NPPES record last updated: May 7, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Asifhusen Abdulrahim Mansuri M.d. NPPES

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

MR. ASIFHUSEN ABDULRAHIM MANSURI M.D. (NPI 1699109579) is an individual pediatric nephrology provider in Augusta, Georgia, licensed in Georgia (080136) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS, is affiliated with Au Medical Center, and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1699109579
Entity TypeIndividualMale
Primary Taxonomy2080P0210X
Provider Legal NameMR. ASIFHUSEN ABDULRAHIM MANSURICredential: M.D.
Location Address1120 15TH STAugusta, GA 30912-7701
Mailing Address1499 Walton Way Ste 1400Augusta, GA 30901-2603 · (706) 724-6100
Phone(706) 721-8623
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateAugust 27, 2013
Last NPPES UpdateMay 7, 2018
✔ NPI 1699109579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
License✔ Licensed in GA · 080136
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License BP10048201 (TX)
1120 15TH ST, Augusta, GA 30912
Open in Google Maps ↗

Secondary Practice Location 1

Location 11935 Medical District DrDallas, TX 75235-7701 · Phone (214) 456-2735 · Fax (214) 648-2034

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Mr. Asifhusen Abdulrahim Mansuri 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 ID1355623596
PECOS Enrollment IDI20180903000043
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

3

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

Au Medical Associates Inc
0.1 mi
Multi-Specialty
1120 15TH ST
Augusta, GA 30912
  • Reassigned Medicare billing, Georgia enrollment
  • 1,151 clinicians in this Medicare group
NPI 1841230620 (706) 721-2273
University Medical Associates
121 mi
Multi-Specialty
2125 CHARLIE HALL BLVD, SUITE 100
Charleston, SC 29414
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: University Medical Associates Of The Medical University Of South Carol
  • 2,594 clinicians in this Medicare group
NPI 1760413835 (843) 792-1414
Wellstar Medical Group, LLC
140 mi
Family Medicine
11685 ALPHARETTA HWY, SUITE 300
Roswell, GA 30076
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1922405729 (678) 325-6611

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Au Medical Center

Acute Care Hospitals · Augusta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110034
Location1120 15th StreetAugusta, GA 30912 · Richmond County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 5

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers33 claims5,250 services$0.32 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier13 claims3,156 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers20 claims2,644 services$0.18 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
3 suppliers24 claims24 services$17.37 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers44 claims47 services$11.07 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 20

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

DR. TOYA HESTER KELLEY MD
Family Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-3157
DR. JACK BRADLEY ELLIS D.O.
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
SAMI MOHAMMED ALSHEHRY
Student in an Organized Health Care Education/Training Program
1120 15TH ST, 1065
AUGUSTA, GA 30912
Richmond County (706) 721-2411
LUIS ALBERTO VELASQUEZ ZARATE M.D
Pathology (Anatomic Pathology & Clinical Pathology)
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-2771
DR. BRYAN RICHARD BROACH M.D.
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
JANELLE MCGILL M.D.
Pediatrics
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
DR. KAYLA ASHLEY SHAHBAZIAN DO
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
ROSA MARIA LOPEZ RINCON
Anesthesiology
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 446-5836

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 Asifhusen Mansuri's NPI number?

The NPI number for Asifhusen Mansuri is 1699109579. It was assigned to this individual provider in the NPPES registry on August 27, 2013.

Where is Asifhusen Mansuri located?

Asifhusen Mansuri practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (706) 721-8623.

What is Asifhusen Mansuri's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Asifhusen Mansuri enrolled in Medicare?

Yes. Asifhusen Mansuri 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 organizations bill Medicare for Asifhusen Mansuri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Asifhusen Mansuri reassigns Medicare benefits to 3 organizations: Au Medical Associates Inc (Augusta, GA), University Medical Associates (Charleston, SC) and Wellstar Medical Group, LLC (Roswell, GA). 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 Asifhusen Mansuri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Asifhusen Mansuri accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Asifhusen Mansuri 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 Asifhusen Mansuri affiliated with any hospitals?

According to CMS data, Asifhusen Mansuri is affiliated with Au Medical Center.

When was this NPI record last updated?

The NPPES record for Asifhusen Mansuri was last updated on May 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.