DR. SAMUEL ADEL MANSOUR MD
NPI 1821678236
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 09, 2021PECOS Enrolled
3990 JOHN R ST, DETROIT, MI 48201(313) 577-5009 Get Directions Write a Review

NPPES record last updated: April 9, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Samuel Adel Mansour Md NPPES

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

DR. SAMUEL ADEL MANSOUR MD (NPI 1821678236) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821678236
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. SAMUEL ADEL MANSOURCredential: MD
Location Address3990 JOHN R STDetroit, MI 48201-2059
Mailing Address3250 Saint Charles PlBoca Raton, FL 33434-5307 · (561) 213-1431
Sole ProprietorNo
Enumeration DateApril 9, 2021
NPPES CertifiedApril 9, 2021
NPI 1821678236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3990 JOHN R ST, Detroit, MI 48201

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Samuel Adel Mansour Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

Nurse Anesthetist, Certified Registered
3990 JOHN R ST
DETROIT, MI 48201
Nurse Anesthetist, Certified Registered
3990 JOHN R ST
DETROIT, MI 48201
Anesthesiology
3990 JOHN R ST
DETROIT, MI 48201
Occupational Therapist
3990 JOHN R ST
DETROIT, MI 48201
Anesthesiology
3990 JOHN R ST
DETROIT, MI 48201
Emergency Medicine
3990 JOHN R ST
DETROIT, MI 48201
Nurse Anesthetist, Certified Registered
3990 JOHN R ST
DETROIT, MI 48201
Nurse Anesthetist, Certified Registered
3990 JOHN R ST
DETROIT, MI 48201

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 Samuel Mansour's NPI number?

The NPI number for Samuel Mansour is 1821678236. It was assigned to this individual provider in the NPPES registry on April 9, 2021.

Where is Samuel Mansour located?

Samuel Mansour practices at 3990 John R St, Detroit, MI 48201. The listed phone number is (313) 577-5009.

What is Samuel Mansour's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Samuel Mansour enrolled in Medicare?

Yes. Samuel Mansour is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Mansour was last updated on April 9, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.