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DR. HAYTHAM MANSOUR D.P.M.
NPI 1811078207
Podiatrist - Foot & Ankle Surgery in Mokena, IL

Active since October 18, 2006PECOS EnrolledAccepts Medicare Assignment
19255 EVERETT LN, SUITE B, MOKENA, IL 60448(630) 656-3171(630) 657-0131 Get Directions Write a Review

NPPES record last updated: January 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 10, 2020, Nov 1, 2019 (2 updates tracked since 2019).

About Dr. Haytham Mansour D.p.m. NPPES

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

DR. HAYTHAM MANSOUR D.P.M. (NPI 1811078207) is an individual foot & ankle surgery provider in Mokena, Illinois, licensed in Illinois (016005301) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Macneal Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1811078207
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. HAYTHAM MANSOURCredential: D.P.M.
Location Address19255 EVERETT LN, SUITE BMokena, IL 60448
Mailing AddressPo Box 711Lombard, IL 60148-0711
Phone(630) 656-3171
Fax(630) 657-0131
Sole ProprietorYes
Medical School CMSWilliam M. Scholl College Of Podiatric MedicineGraduated 2005
Enumeration DateOctober 18, 2006
Last NPPES UpdateJanuary 10, 20202 updates tracked since enumeration
✔ NPI 1811078207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Licenses✔ Licensed in IL · 016005301✔ Licensed in IN · 07001118A
19255 EVERETT LN, Mokena, IL 60448
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Secondary Practice Locations 2

Location 119255 Everett Ln, Suite BMokena, IL 60448 · Phone (630) 656-3171 · Fax (630) 657-0131
Location 22734 W 87th StChicago, IL 60652-3937 · Phone (177) 391-8470

Other Identifiers 1

OtherP00920915IN · Railroad Medicare

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. Haytham Mansour D.p.m. 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 ID6204902489
PECOS Enrollment IDI20080912000157
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
598 services285 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
302 services136 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
130 services71 patients
Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342
A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.
111 services111 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
92 services41 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
65 services38 patients

Hospital Affiliations CMS Care Compare 2

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

Macneal Hospital

Acute Care Hospitals · Berwyn, IL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number140054
Location3249 South Oak Park AvenueBerwyn, IL 60402 · Cook County
Emergency services Birthing friendly

Silver Cross Hospital And Medical Centers

Acute Care Hospitals · New Lenox, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140213
Location1900 Silver Cross BlvdNew Lenox, IL 60451 · Will County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES

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

HMI FOOT AND ANKLE GROUP, SC
Podiatrist (Foot & Ankle Surgery)
19255 EVERETT LN, SUITE B
MOKENA, IL 60448
Will County (630) 656-3171

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 Haytham Mansour's NPI number?

The NPI number for Haytham Mansour is 1811078207. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Haytham Mansour located?

Haytham Mansour practices at 19255 Everett Ln Suite B, Mokena, IL 60448. The listed phone number is (630) 656-3171.

What is Haytham Mansour's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Haytham Mansour enrolled in Medicare?

Yes. Haytham 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.

Is Haytham Mansour affiliated with any hospitals?

According to CMS data, Haytham Mansour is affiliated with Macneal Hospital and Silver Cross Hospital And Medical Centers.

When was this NPI record last updated?

The NPPES record for Haytham Mansour was last updated on January 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.