DR. EMAD S MANSOUR (MD) – Pediatric Critical Care Medicine Physician, NPI 1013967744
Pediatric Critical Care Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,454 CRITICAL CARE (INTENSIVISTS) in FL
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Provider Addresses for DR. EMAD S MANSOUR (MD)
Fort Myers Post Office, North Airport Road, Lee County, Florida, 33907, United States
FORT MYERS, FL 339022147
Phone: (239) 343-5651
Fax: (239) 343-5652
Type: Mailing
HealthPark Medical Center, 9981, South Healthpark Drive, Cypress Cove Villas, Fort Myers, Lee County, Florida, 33908, United States
FORT MYERS, FL 339083618
Phone: (239) 343-5651
Fax: (239) 343-5652
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-11-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071126000440 | I | Critical Care (Intensivists) | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33902)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Neurology, Nephrology, Psychiatry | FL | |
| R H E U M A T O L O G Y | FL | |
| Nurse Practitioner | FL | |
| General Surgery | MI | |
| N E U R O L O G Y | MO | |
| Cardiovascular Disease (Cardiology) | FL | |
| Physician Assistant | FL | |
| Medical Genetics And Genomics | MI | |
| Nurse Practitioner | FL | |
| Physician Assistant | RI |
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