DR. HAYTHAM MANSOUR (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1811078207
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,038 PODIATRY in IL
Provider Addresses for DR. HAYTHAM MANSOUR (D.P.M.)
19255 Everett Ln
Suite B
Mokena, IL 60448
Phone: (630) 656-3171
Fax: (630) 657-0131
Type: Location
2734 W 87th St
Chicago, IL 606523937
Phone: (177) 391-8470
Type: Location
PO BOX 711
LOMBARD, IL 601480711
Phone:
Type: Mailing
19255, Everett Lane, Mokena, Will County, Illinois, 60448, United States
SUITE B
MOKENA, IL 60448
Phone: (630) 656-3171
Fax: (630) 657-0131
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: 2008-09-12
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 |
|---|---|---|---|---|
| I20080912000157 | I | Podiatry | 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 |
|---|---|---|---|---|
| 11721 | Removal of fingernails or toenails, 6 or more nails | 555 | 250 | $0 |
| 99347 | Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 288 | 142 | $0 |
| 99342 | Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes | 101 | 101 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 67 | 32 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 45 | 28 | $0 |
Insurance plans in this area (ZIP 60448)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | IL | 11056 | Removal of 2 to 4 thickened skin growths | 16 | 15 |
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