ABDELNASSER G ELMANSOURY (MD PA) – Specialist, NPI 1639117252

ABDELNASSER G ELMANSOURY (MD PA) is a healthcare provider. based in Brooksville, Florida. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD PA. They hold a License No. ME0064736 (FL). The NPI Number for ABDELNASSER G ELMANSOURY (MD PA) is 1639117252

Main info

Male
Sole Proprietor
52 Years Of Experience
Accepts Medicare Assignment
Name
ABDELNASSER G ELMANSOURY (MD PA)
NPI
1639117252
Phone
(352) 345-4804
Address
17222 HOSPITAL BLVD
Enumeration Date
4 June 2006
Last Update Date
31 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2394154900
Graduation Year
1974 (52 years ago)
PAC ID
7012052822
Group Practice PAC ID
9335114552
Professional Enrollment ID
I20100304000539
Address ID
FL339121873FO13411BLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,521 CARDIOVASCULAR DISEASE (CARDIOLOGY) in FL

Provider Addresses for ABDELNASSER G ELMANSOURY (MD PA)

  • 17222 HOSPITAL BLVD

    SUITE 238

    BROOKSVILLE, FL 346018925

    Phone: (352) 345-4804

    Fax: (352) 593-4918

    Type: Mailing

  • 13411 PARKER COMMONS BLVD STE 101

    FORT MYERS, FL 339121873

    Phone: (239) 415-4900

    Fax: (239) 337-4901

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2023-02-22 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-03-04

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100304000539ICardiovascular Disease (Cardiology)FLTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only248239$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report201173$0
99214Established patient office or other outpatient visit, 30-39 minutes148127$0
99215Established patient office or other outpatient visit, 40-54 minutes10487$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function7470$0
View full utilization report →

Insurance plans in this area (ZIP 34601)

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Provider's Procedures

ABDELNASSER G ELMANSOURY (MD PA) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)FL93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report1615
CARDIOVASCULAR DISEASE (CARDIOLOGY)FL93922Ultrasound study of arteries of both arms and legs2828

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335114552View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology)IA
Cardiovascular Disease (Cardiology), Internal MedicineIA
Physician AssistantFL
Cardiovascular Disease (Cardiology)FL
Nurse PractitionerFL
Cardiovascular Disease (Cardiology), Internal MedicineFL
Nurse PractitionerIL
Nurse PractitionerFL

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Frequently asked questions

What is the standard ID for ABDELNASSER G ELMANSOURY (MD PA) in the U.S.?
In the U.S., ABDELNASSER G ELMANSOURY (MD PA) is identified by NPI 1639117252.
Is ABDELNASSER G ELMANSOURY (MD PA)'s NPI status active today?
Active status means ABDELNASSER G ELMANSOURY (MD PA)'s NPI record is not deactivated in the public file.
Which specialty label fits ABDELNASSER G ELMANSOURY (MD PA)?
NPPES ties ABDELNASSER G ELMANSOURY (MD PA) to Other Service Providers in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is ABDELNASSER G ELMANSOURY (MD PA) tied to Brooksville, Florida?
If you are local to Brooksville, Florida, ABDELNASSER G ELMANSOURY (MD PA) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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