DR. IZZUDDIN ALI MANSUR (M.D.) – Urology Physician, NPI 1508828344
Urology Physician
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NPPES metrics only — not quality of care.
313 UROLOGY in TN
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Provider Addresses for DR. IZZUDDIN ALI MANSUR (M.D.)
Cleveland Street, Grassland Addition, Crossville, Cumberland County, East Tennessee, Tennessee, 37855, United States
SUITE 220
CROSSVILLE, TN 385552855
Phone: (931) 707-8050
Fax: (931) 707-8048
Mailing address matches the actual address.
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.
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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: 2007-10-31
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 |
|---|---|---|---|---|
| I20071031000345 | I | Urology | TN | 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 |
|---|---|---|---|---|
| 81003 | Automated urinalysis test | 508 | 324 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 445 | 315 | $0 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 137 | 104 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 105 | 89 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 33 | 33 | $0 |
Insurance plans in this area (ZIP 38555)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| UROLOGY | TN | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 23 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Internal Medicine | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Internal Medicine | TN | |
| Nurse Practitioner | TN | |
| Family Practice | TN | |
| - | TN | |
| Physician Assistant | TN | |
| Nurse Practitioner | TN |
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