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DR. MOHAMED MANSOUR
NPI 1871809442
General Practice in Katy, TX

Active since August 20, 2010PECOS EnrolledAccepts Medicare Assignment
21398 PROVINCIAL BLVD, KATY, TX 77450(346) 707-8978(313) 457-1003 Get Directions Write a Review

NPPES record last updated: June 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 15, 2025, Mar 8, 2023, Jul 21, 2022 and 2 more (5 updates tracked since 2016).

About Dr. Mohamed Mansour NPPES

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

DR. MOHAMED MANSOUR (NPI 1871809442) is an individual general practice provider in Katy, Texas, licensed in Texas (S4342) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1871809442
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. MOHAMED MANSOUR
Location Address21398 PROVINCIAL BLVDKaty, TX 77450-7580
Mailing Address1910 Aspley CtHouston, TX 77094-3431
Phone(346) 707-8978
Fax(313) 457-1003
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateAugust 20, 2010
Last NPPES UpdateJune 15, 20255 updates tracked since enumeration
NPPES CertifiedJune 15, 2025
✔ NPI 1871809442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in TX · S4342✔ Licensed in MI · 4301105543
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
21398 PROVINCIAL BLVD, Katy, TX 77450
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Secondary Practice Location 1

Location 112121 Richmond Ave Ste 216Houston, TX 77082-2422 · Phone (346) 707-8978

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 Mansour 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 ID7113144833
PECOS Enrollment IDI20200325000741
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 6

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

JEANETTE SILLS-BAILEY
Behavior Technician
21398 PROVINCIAL BLVD
KATY, TX 77450
Harris County (713) 515-7196
ALLISON STAFFORD
Behavior Technician
21398 PROVINCIAL BLVD
KATY, TX 77450
Harris County (713) 515-7196
TAYLOR SMITH
Behavior Technician
21398 PROVINCIAL BLVD
KATY, TX 77450
Harris County (713) 515-7196
MRS. CARA MARTIN LMSW
Social Worker
21398 PROVINCIAL BLVD
KATY, TX 77450
Harris County (281) 717-4674
SPAR THERAPY SERVICE TEXAS INC
General Practice
21398 PROVINCIAL BLVD
KATY, TX 77450
Harris County (281) 717-8898
SHERIDAN VINCENT-GOBBLE
Behavior Technician
21398 PROVINCIAL BLVD
KATY, TX 77450
Harris County (713) 515-7196

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 1871809442. It was assigned to this individual provider in the NPPES registry on August 20, 2010.

Where is Mohamed Mansour located?

Mohamed Mansour practices at 21398 Provincial Blvd, Katy, TX 77450. The listed phone number is (346) 707-8978.

What is Mohamed Mansour's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

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 Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 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.

When was this NPI record last updated?

The NPPES record for Mohamed Mansour was last updated on June 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.