MARYAH MANSOOR (MD) – Internal Medicine Physician, NPI 1659684777
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
357 RHEUMATOLOGY in IL
Provider Addresses for MARYAH MANSOOR (MD)
1800 N KNOXVILLE AVE STE E
PEORIA, IL 616033005
Phone: (309) 308-0910
Fax: (309) 308-0919
Type: Location
200 HYGEIA DRIVE, SUITE 2300
CCHS PHYSICIAN CONTRACTING
NEWARK, DE 197132049
Phone: (917) 855-6913
Type: Mailing
501 WEST 14TH STREET, 5TH FLOOR
S
WILMINGTON, DE 198011013
Phone: (302) 320-2490
Fax: (302) 623-4395
Type: Location
501 West 14th Street, 5th Floor
S
Wilmington, DE 198011013
Phone: (302) 320-2490
Fax: (302) 623-4395
Type: Location
PO Box A
Onamia, MN 563590807
Phone: (320) 532-3154
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $70.
Total Amount is formed as General ($70) + Research ($0) + Ownership ($0) = $70.
Last reported payment date: 2023-05-23 • Largest payer in this snapshot: Janssen Biotech, Inc. ($55).
Total Amount
$70
General + Research + Ownership
Payments
2
Total payment records
General Amount
$70
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $55 |
| Amgen Inc. | $15 |
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: 2024-10-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20151022002518 | I | Rheumatology | DE | TBD |
| I20231211001828 | I | Rheumatology | MN | TBD |
| I20240806002314 | I | Rheumatology | IA | TBD |
| I20241028000562 | I | Rheumatology | 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 | 230 | 162 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 25 | 25 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 24 | 17 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 14 | 14 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 61603)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | DE | |
| - | DE | |
| - | DE | |
| - | PA | |
| Internal Medicine | DE | |
| Physician Assistant | DE | |
| Nurse Practitioner | PA | |
| General Surgery | IL | |
| Diagnostic Radiology | NY | |
| Internal Medicine | NY |
Reviews
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