FAIZ MANSOUR, M.D., P.C.
NPI 1770769630
Exclusive Provider Organization in Bloomfield Hills, MI

Active since January 10, 2008
10 W SQUARE LAKE RD, SUITE 202, BLOOMFIELD HILLS, MI 48302(248) 452-9500 Get Directions Write a Review

NPPES record last updated: May 20, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Faiz Mansour, M.d., P.c. NPPES

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

FAIZ MANSOUR, M.D., P.C. (NPI 1770769630) is a healthcare organization registered as an exclusive provider organization in Bloomfield Hills, Michigan and active in the NPI registry since January 2008. The organization lists Faiz Mansour, Owner, as its authorized official.

NPPES Registry Identity

NPI1770769630
Entity TypeOrganization
Primary Taxonomy302F00000X
Legal Business NameFAIZ MANSOUR, M.D., P.C.
Location Address10 W SQUARE LAKE RD, SUITE 202Bloomfield Hills, MI 48302-0465
Mailing Address10 W Square Lake Rd, 202Bloomfield Hills, MI 48302-0465 · (248) 452-9500
Organization SubpartNo
Authorized OfficialFaiz MansourOwner · (248) 334-3792
Enumeration DateJanuary 10, 2008
Last NPPES UpdateMay 20, 2008
NPI 1770769630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyExclusive Provider OrganizationManaged Care Organizations
Taxonomy Code302F00000X
License Licensed in MI · 4301059179
Definition

(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.

10 W SQUARE LAKE RD, Bloomfield Hills, MI 48302

Other Identifiers 3

Medicare PIN0P53500
Medicare UPING13783
Medicaid4255901MI

Accepted 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 23D0872610

Faiz W Mansour MD · Bloomfield Hills, MI
Expired · Jul 19, 2026
CLIA Number23D0872610
Laboratory TypeIndependent
Certificate Effective DateJuly 20, 2024
Certificate Expiration DateJuly 19, 2026
Laboratory DirectorFaiz W. Mansour
Laboratory Phone(248) 452-9500
Laboratory LocationFaiz W Mansour MD10 W Square Lake Suite 301, Bloomfield Hills, MI 48302
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

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

Podiatrist
10 W SQUARE LAKE RD, STE. 300
BLOOMFIELD HILLS, MI 48302
Chiropractor
10 W SQUARE LAKE RD, STE 306
BLOOMFIELD HILLS, MI 48302
Psychiatry & Neurology (Psychiatry)
10 W SQUARE LAKE RD, SUITE 222
BLOOMFIELD HILLS, MI 48302
Physical Therapist
10 W SQUARE LAKE RD, SUITE 110
BLOOMFIELD HILLS, MI 48302
Psychiatry & Neurology (Child & Adolescent Psychiatry)
10 W SQUARE LAKE RD, #215
BLOOMFIELD HILLS, MI 48302
Clinic/Center (Hearing and Speech)
10 W SQUARE LAKE RD, SUITE 300
BLOOMFIELD HILLS, MI 48302
Clinic/Center (Adult Mental Health)
10 W SQUARE LAKE RD, SUITE 222
BLOOMFIELD HILLS, MI 48302
Social Worker (Clinical)
10 W SQUARE LAKE RD, SUITE 221
BLOOMFIELD HILLS, MI 48302

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 Faiz Mansour, M.D., P.C.'s NPI number?

The NPI number for Faiz Mansour, M.D., P.C. is 1770769630. It was assigned to this organization in the NPPES registry on January 10, 2008.

Where is Faiz Mansour, M.D., P.C. located?

Faiz Mansour, M.D., P.C. is located at 10 W Square Lake Rd Suite 202, Bloomfield Hills, MI 48302. The listed phone number is (248) 452-9500.

What is Faiz Mansour, M.D., P.C.'s specialty?

The primary specialty registered for this NPI is Exclusive Provider Organization with taxonomy code 302F00000X.

What insurance does Faiz Mansour, M.D., P.C. 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 Faiz Mansour, M.D., P.C. 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 Faiz Mansour, M.D., P.C. was last updated on May 20, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.