MANSOUR MERCY MEDICAL CENTER PLLC
NPI 1699852343
Family Medicine in Eastpointe, MI
About Mansour Mercy Medical Center Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANSOUR MERCY MEDICAL CENTER PLLC (NPI 1699852343) is a healthcare organization registered as a family medicine in Eastpointe, Michigan and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Alaa G Mansour, Presadent, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mansour Mercy Medical Center Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Mansour Mercy Medical Center PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 23D0370284
Mansour Mercy Medical Center · Roseville, MIFrequently 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 Mansour Mercy Medical Center PLLC's NPI number?
The NPI number for Mansour Mercy Medical Center PLLC is 1699852343. It was assigned to this organization in the NPPES registry on November 1, 2006.
Where is Mansour Mercy Medical Center PLLC located?
Mansour Mercy Medical Center PLLC is located at 21321 Kelly Rd Ste 100, Eastpointe, MI 48021. The listed phone number is (586) 443-5580.
What is Mansour Mercy Medical Center PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mansour Mercy Medical Center PLLC enrolled in Medicare?
Yes. Mansour Mercy Medical Center PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mansour Mercy Medical Center PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Mansour Mercy Medical Center PLLC, in Internal Medicine and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mansour Mercy Medical Center PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D0370284) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Mansour Mercy Medical Center PLLC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Mansour Mercy Medical Center PLLC 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 Mansour Mercy Medical Center PLLC was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mansour Mercy Medical Center Pllc · NPI 1699852343
Family Medicine organization in Eastpointe, Michigan. Organization record, active in the CMS NPPES registry since November 1, 2006.
## Identity
- **NPI:** 1699852343 (Entity type: Organization)
- **Enumerated:** November 1, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Alaa Mansour, PRESADENT
## Practice location
- **Address:** 21321 KELLY RD STE 100, Eastpointe, MI 48021-3214
- **Phone:** (586) 443-5580 · **Fax:** (586) 443-5590
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Nurse Practitioner (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 8, 2024
- **Other identifiers:** Other 1105015892 (MI); Medicaid 4717292 (MI)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1699852343) · Data from the CMS NPPES public registry.