Faiz Mansour, M.D., P.C.
NPI 1770769630ActiveOrganization· Exclusive Provider Organization· Bloomfield Hills, MI
Exclusive Provider Organization in Bloomfield Hills, Michigan, registered in NPPES in January 2008. The authorized official on file is Faiz Mansour, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1770769630 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 10, 2008 |
| Last updated in NPPES | May 20, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Exclusive Provider Organization Primary | 302F00000X | 4301059179 | MI |
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 Part B Supplier - Clinic/Group Practice (MI) |
|---|
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