HAMZAH MANSOURA (MD) – Student in an Organized Health Care Education/Training Program, NPI 1639668569
Student in an Organized Health Care Education/Training Program
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,166 GENERAL SURGERY in FL
Loading map...
Provider Addresses for HAMZAH MANSOURA (MD)
Centerville Road, Tallahassee, Leon County, Florida, 323089, United States
TALLAHASSEE, FL 323084647
Phone: (850) 431-5567
Fax: (850) 431-5563
Type: Mailing
631 Professional Dr Ste 360
Lawrenceville, GA 300463370
Phone: (678) 312-3290
Fax: (678) 312-2733
Type: Location
2710 SWISS AVE
DALLAS, TX 752045900
Phone: (214) 821-1599
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $151.
Total Amount is formed as General ($151) + Research ($0) + Ownership ($0) = $151.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Shionogi Inc ($27).
Total Amount
$151
General + Research + Ownership
Payments
7
Total payment records
General Amount
$151
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Shionogi Inc | $27 |
| KLS-Martin L.P. | $26 |
| KCI USA, Inc. | $21 |
| Davol Inc. | $20 |
| CSL Behring | $20 |
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: 2024-09-26
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 |
|---|---|---|---|---|
| I20240926004106 | I | General Surgery | TX | 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 32308)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| General Surgery | KY | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| Critical Care (Intensivists), General Surgery | TX | |
| General Surgery | PA | |
| General Surgery | IL | |
| Emergency Medicine | TX | |
| General Surgery, Critical Care (Intensivists) | TX | |
| General Surgery | TX |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.