Izzuddin Ali Mansur, M.D.
NPI 1508828344ActiveIndividual· Urology· Crossville, TN
Urology (M.D.) with Covenant Medical Group Inc, practicing in Crossville, Tennessee. 450 Medicare patients in 2024, $94,393 paid; nearly all of their 964 Part D prescriptions were generic (93%). Lists Cumberland Medical Center as a hospital affiliation.
Overview
| NPI | 1508828344 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Apr 5, 2006 |
| Last updated in NPPES | Jun 14, 2021 |
| Certified by provider | Jun 14, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | MD30604 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Urology (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 450 |
|---|---|
| Services billed | 1,548 across 45 procedure codes |
| Paid by Medicare | $94,393 |
Part D prescriptions in 2024
| Prescriptions (claims) | 964 · 1,900 30-day fills |
|---|---|
| Patients | 360 |
| Total drug cost | $65,843 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 1979 |
|---|---|
| Medicare specialty | Urology |
Medical group
- Covenant Medical Group IncKnoxville, TN · 365 clinicians
Hospital affiliation
- Cumberland Medical CenterCrossville, TN
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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