IBRAHIM NAIM MANSOUR (MD) – Interventional Cardiology Physician, NPI 1619076619
Interventional Cardiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
3,511 INTERNAL MEDICINE in IN
Provider Addresses for IBRAHIM NAIM MANSOUR (MD)
5 KISH HOSPITAL DR STE 103
DEKALB, IL 601159602
Phone: (630) 232-0280
Fax: (630) 232-3895
Type: Mailing
840 SOUTH WOOD STREET, MC 715
CHICAGO, IL 60612
Phone: (312) 996-9086
Fax: (906) 776-5639
Type: Mailing
601 W Kieffer Rd
Michigan City, IN 463609599
Phone: (219) 878-3217
Type: Location
840 S Wood St # Mc715
Chicago, IL 606124325
Phone: (312) 996-9086
Type: Location
West Kieffer Road, Michigan City, LaPorte County, Indiana, 46360, United States
MICHIGAN CITY, IN 463609599
Phone: (219) 878-3217
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: 2025-01-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20070424000048 | I | Interventional Cardiology | IL | TBD |
| I20181018003279 | I | Interventional Cardiology | IN | TBD |
| I20250122001096 | I | Interventional Cardiology | KS | 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 |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 46 | 43 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 39 | 39 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 14 | 13 | $0 |
Insurance plans in this area (ZIP 60115)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Diagnostic Radiology, Interventional Radiology | IL | |
| P A T H O L O G Y | IL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | IL | |
| G A S T R O E N T E R O L O G Y | IL | |
| Internal Medicine | IL | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal Medicine | MN | |
| - | IL | |
| Physical Therapist In Private Practice | IL | |
| Nurse Practitioner | IL |
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