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DR. MOHAMED BOSHER MANSOUR MD
NPI 1710332606
Internal Medicine 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 3, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 3, 2025, May 16, 2025, Mar 11, 2025 and 3 more (6 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 internal medicine provider in Saint Clair Shores, Michigan, licensed in Michigan (4301109257) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Grosse Pointe, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1710332606
Entity TypeIndividualMale
Primary Taxonomy207R00000X
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 3, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
✔ NPI 1710332606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301109257
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 35135917 (OH)
21000 E 12 MILE RD STE 112, Saint Clair Shores, MI 48081
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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 2

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

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 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
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 with taxonomy code 207R00000X.

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 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 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.