OWAISE MANSURI (MD) – Internal Medicine Physician, NPI 1124280409
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
455 ENDOCRINOLOGY in IL
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Provider Addresses for OWAISE MANSURI (MD)
Carle Foundation Hospital, 611, West Park Street, Urbana, Champaign County, Illinois, 61801, United States
BWPC
URBANA, IL 618012529
Phone: (217) 383-6792
Type: Mailing
Carle Champaign on Kirby, 1813, West Kirby Avenue, Champaign, Champaign County, Illinois, 61821, United States
CHAMPAIGN, IL 618215410
Phone: (217) 383-3490
Fax: (217) 383-3439
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $180.
Total Amount is formed as General ($180) + Research ($0) + Ownership ($0) = $180.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Insulet Corporation ($34).
Total Amount
$180
General + Research + Ownership
Payments
7
Total payment records
General Amount
$180
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Insulet Corporation | $34 |
| SANOFI-AVENTIS U.S. LLC | $33 |
| Amgen Inc. | $27 |
| Tandem Diabetes Care, Inc. | $25 |
| BETA BIONICS, INC. | $24 |
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: 2013-10-14
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 |
|---|---|---|---|---|
| I20131014000550 | I | Endocrinology | IL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 692 | 524 | $0 |
| 95251 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 183 | 132 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 110 | 110 | $0 |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 104 | 63 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 61801)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | NY | |
| Vascular Surgery, General Surgery | IL | |
| Physician Assistant | IL | |
| - | IL | |
| - | IL | |
| Hospice/Palliative Care, Internal Medicine | IL | |
| Cardiovascular Disease (Cardiology) | IL | |
| Diagnostic Radiology | IL | |
| Nurse Practitioner | IL | |
| Diagnostic Radiology | IL |
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