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MANSOUR MERCY MEDICAL CENTER PLLC
NPI 1699852343
Family Medicine in Eastpointe, MI

Active since November 01, 2006CLIA 23D0370284 · Waiver
21321 KELLY RD STE 100, EASTPOINTE, MI 48021(586) 443-5580(586) 443-5590 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 8, 2024, Jan 21, 2021, Aug 22, 2020 (3 updates tracked since 2020).

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, 2026 and lists Alaa G Mansour, Presadent, as its authorized official.

NPPES Registry Identity

NPI1699852343
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMANSOUR MERCY MEDICAL CENTER PLLC
Location Address21321 KELLY RD STE 100Eastpointe, MI 48021-3214
Mailing Address21321 Kelly Rd Ste 100Eastpointe, MI 48021-3214 · (586) 443-5580 · Fax (586) 443-5590
Phone(586) 443-5580
Fax(586) 443-5590
Organization SubpartNo
Authorized OfficialAlaa G MansourPresadent · (586) 443-5580
Enumeration DateNovember 1, 2006
Last NPPES UpdateOctober 8, 20243 updates tracked since enumeration
NPPES CertifiedOctober 7, 2024
✔ NPI 1699852343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · AM078660
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

21321 KELLY RD STE 100, Eastpointe, MI 48021
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Other Identifiers 2

Other1105015892MI · Bcbs
Medicaid4717292MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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, MI
Active · expires Aug 31, 2026
CLIA Number23D0370284
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorAlaa G. Mansour MD
Laboratory Phone(586) 443-5580
Laboratory LocationMansour Mercy Medical Center19011 E 10 Mile Road, Roseville, MI 48066
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. ALAA G MANSOUR M.D.
Family Medicine
21321 KELLY RD STE 100
EASTPOINTE, MI 48021
Macomb County (586) 443-5580

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 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.

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, 2026. 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 with the weekly NPPES data releases published by CMS.