BRANDON M MANSOOR (M.D.) – Diagnostic Radiology Physician, NPI 1174905632
Diagnostic Radiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,652 DIAGNOSTIC RADIOLOGY in MI
Provider Addresses for BRANDON M MANSOOR (M.D.)
3601 W 13 MILE RD
ROYAL OAK, MI 480736712
Phone: (248) 898-5000
Type: Mailing
3601 W 13 Mile Rd
Royal Oak, MI 480736712
Phone: (248) 898-5000
Type: Location
500 W VOTAW ST
PORTLAND, IN 473711322
Phone: (260) 726-1821
Type: Location
250 N SHADELAND AVE
INDIANAPOLIS, IN 462194959
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $23.
Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.
Last reported payment date: 2024-05-22 • Largest payer in this snapshot: ABBVIE INC. ($23).
Total Amount
$23
General + Research + Ownership
Payments
1
Total payment records
General Amount
$23
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $23 |
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: 2022-08-05
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20200507002151 | I | Diagnostic Radiology | CA | TBD |
| I20210706000762 | I | Diagnostic Radiology | MI | TBD |
| I20220805002012 | I | Diagnostic Radiology | IN | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 434 | 394 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 146 | 144 | $0 |
| 71046 | X-ray of chest, 2 views | 105 | 103 | $0 |
| 74018 | X-ray of abdomen, 1 view | 103 | 96 | $0 |
| 70450 | Ct scan head or brain without contrast | 76 | 75 | $0 |
Insurance plans in this area (ZIP 48073)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nuclear Medicine, Diagnostic Radiology | NJ | |
| Diagnostic Radiology | NY | |
| Diagnostic Radiology | CA | |
| Nurse Practitioner | CA | |
| Diagnostic Radiology | MO | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | AZ | |
| Diagnostic Radiology | CA | |
| Interventional Radiology, Diagnostic Radiology | TX | |
| Diagnostic Radiology, Interventional Radiology | ID |
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