Mansour Mohamed Issam Mansour, DO
NPI 1366002735ActiveIndividual· Emergency Medicine· Taylor, MI
Emergency Medicine (DO) in Taylor, Michigan, trained at Lake Erie College of Osteopathic Medicine, Erie (class of 2019). 358 Medicare patients in 2024, $46,450 paid; nearly all of their 248 Part D prescriptions were generic (90%).
Overview
| NPI | 1366002735 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | Yes |
| NPI issued | Jun 18, 2019 |
| Last updated in NPPES | Sep 11, 2025 |
| Certified by provider | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 5151014003 | MI |
| Emergency Medicine | 207P00000X | 34.016312 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (MI); Practitioner - Emergency Medicine (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 358 |
|---|---|
| Services billed | 423 across 21 procedure codes |
| Paid by Medicare | $46,450 |
Part D prescriptions in 2024
| Prescriptions (claims) | 248 · 343 30-day fills |
|---|---|
| Patients | 143 |
| Total drug cost | $11,179 |
| Generic share | 90% of claims |
Education and affiliations
| Medical school | Lake Erie College of Osteopathic Medicine, Erie |
|---|---|
| Graduation year | 2019 |
| Medicare specialty | Emergency Medicine |
Medical groups
- Mercy Emergency Care Services IncToledo, OH · 63 clinicians
- Emergency Professionals of Michigan PCTaylor, MI · 52 clinicians
Hospital affiliation
- Mercy St Vincent Medical CenterToledo, OH
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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