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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MOHAMED BOSHER MANSOUR MD
NPI 1710332606
Internal Medicine - Pulmonary Disease in Saint Clair Shores, MI

Active since April 27, 2016PECOS EnrolledAccepts Medicare Assignment
21000 E 12 MILE RD STE 112, SAINT CLAIR SHORES, MI 48081(586) 772-5550(586) 772-2470 Get Directions Write a Review

NPPES record last updated: September 11, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 11, 2026, Sep 3, 2025, May 16, 2025 and 4 more (7 updates tracked since 2019).

About Dr. Mohamed Bosher Mansour Md NPPES

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

DR. MOHAMED BOSHER MANSOUR MD (NPI 1710332606) is an individual pulmonary disease provider in Saint Clair Shores, Michigan, licensed in Michigan (4301117214) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1710332606
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. MOHAMED BOSHER MANSOURCredential: MD
Location Address21000 E 12 MILE RD STE 112Saint Clair Shores, MI 48081-1156
Mailing Address50505 Schoenherr Rd Ste 290Shelby Township, MI 48315-3141 · (586) 314-0080 · Fax (877) 673-3562
Phone(586) 772-5550
Fax(586) 772-2470
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 27, 2016
Last NPPES UpdateSeptember 11, 20267 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2026
✔ NPI 1710332606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in MI · 4301117214
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301109257 (MI)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 4301117214 (MI)
Also ListedHospitalistTaxonomy 208M00000X · License 35135917 (OH)
21000 E 12 MILE RD STE 112, Saint Clair Shores, MI 48081
Open in Google Maps ↗

Secondary Practice Locations 3

Location 12142 N Cove BlvdToledo, OH 43606 · Phone (419) 291-4000 · Fax (419) 479-6102
Location 222101 Moross Rd, Professional Building 2 Suite 50Detroit, MI 48236-2148 · Phone (313) 343-7784
Location 350505 Schoenherr Rd Ste 290Shelby Twp, MI 48315-3141 · Phone (586) 314-0080 · Fax (877) 673-3562

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mohamed Bosher 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 ID2365734365
PECOS Enrollment IDI20221202000867
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.

Hospital Affiliations CMS Care Compare 3

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

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230047
Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County
Emergency services Birthing friendly

Beaumont Hospital - Grosse Pointe

Acute Care Hospitals · Grosse Pointe, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230089
Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne County
Emergency services Birthing friendly

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48081 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 10

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

KIMBERLEY DEMERLE M.D.
Internal Medicine (Pulmonary Disease)
21000 E 12 MILE RD STE 112
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 772-5550
DR. CHRISTOPHER W HUGHES M.D.
Internal Medicine (Pulmonary Disease)
21000 E 12 MILE RD STE 112
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 314-0080
DR. RENE A FRANCO-ELIZONDO MD
Internal Medicine (Pulmonary Disease)
21000 E 12 MILE RD STE 112
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 772-5550
MOHAMMAD KOUSHA M.D.
Internal Medicine (Pulmonary Disease)
21000 E 12 MILE RD STE 112
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 314-0080
DR. AMREETA VASHTI SHARMA MD
Internal Medicine (Pulmonary Disease)
21000 E 12 MILE RD STE 112
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 314-0080
DR. WILLIAM A VENTIMIGLIA M.D.
Internal Medicine (Pulmonary Disease)
21000 E 12 MILE RD STE 112
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 314-0080
CHRISTINE MARIE PLICHTA
Internal Medicine
21000 E 12 MILE RD STE 112
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 772-5550
DR. SAMER ALSAMMAN
Internal Medicine (Pulmonary Disease)
21000 E 12 MILE RD STE 112
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 314-0080

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 Mohamed Mansour's NPI number?

The NPI number for Mohamed Mansour is 1710332606. It was assigned to this individual provider in the NPPES registry on April 27, 2016.

Where is Mohamed Mansour located?

Mohamed Mansour practices at 21000 E 12 Mile Rd Ste 112, Saint Clair Shores, MI 48081. The listed phone number is (586) 772-5550.

What is Mohamed Mansour's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Mohamed Mansour enrolled in Medicare?

Yes. Mohamed Mansour 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.

What insurance does Mohamed Mansour accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Mohamed Mansour 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 Mohamed Mansour affiliated with any hospitals?

According to CMS data, Mohamed Mansour is affiliated with Henry Ford Macomb Hospital, Beaumont Hospital - Grosse Pointe and Ascension St John Hospital.

When was this NPI record last updated?

The NPPES record for Mohamed Mansour was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.