JAMEL IZZUDDIN MANSUR MD
NPI 1972229730
Pediatrics in Park Ridge, IL
About Jamel Izzuddin Mansur Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMEL IZZUDDIN MANSUR MD (NPI 1972229730) is an individual pediatrics provider in Park Ridge, Illinois, licensed in Illinois (036177942) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jamel Izzuddin Mansur Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Jamel Mansur reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chicago, IL 60637
- Reassigned Medicare billing, Illinois enrollment
- 1,905 clinicians in this Medicare group
Chicago, IL 60637
- Reassigned Medicare billing, Illinois enrollment
- 2,237 clinicians in this Medicare group
Urbana, IL 61801
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Carle Health Care Incorporated
- 2,516 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60068 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PARK RIDGE, IL 60068
PARK RIDGE, IL 60068
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 Jamel Mansur's NPI number?
The NPI number for Jamel Mansur is 1972229730. It was assigned to this individual provider in the NPPES registry on October 13, 2022.
Where is Jamel Mansur located?
Jamel Mansur practices at 1675 Dempster St, Park Ridge, IL 60068. The listed phone number is (847) 318-9300.
What is Jamel Mansur's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Jamel Mansur enrolled in Medicare?
Yes. Jamel Mansur is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jamel Mansur's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jamel Mansur reassigns Medicare benefits to 3 organizations: The University Of Chicago Medical Center (Chicago, IL), University Of Chicago (Chicago, IL) and Carle Health Medical Group (Urbana, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jamel Mansur's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jamel Mansur was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jamel Izzuddin Mansur, MD · NPI 1972229730
Pediatrics physician in Park Ridge, Illinois. Individual provider, active in the CMS NPPES registry since October 13, 2022.
## Identity
- **NPI:** 1972229730 (Entity type: Individual)
- **Enumerated:** October 13, 2022
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 036177942 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1675 DEMPSTER ST, Park Ridge, IL 60068-1110
- **Phone:** (847) 318-9300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): The University Of Chicago Medical Center (NPI 1033218128, Chicago, IL); University Of Chicago (NPI 1821048786, Chicago, IL); Carle Health Medical Group (NPI 1154653947, Urbana, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** July 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1972229730) · Data from the CMS NPPES public registry.