SHOAIB MANSOOR – Nephrology Physician, NPI 1578122305

SHOAIB MANSOOR is a healthcare provider. based in Murphy, Texas. specializing in INTERNAL MEDICINE. They hold a License No. MT217461 (PA). The NPI Number for SHOAIB MANSOOR is 1578122305

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
SHOAIB MANSOOR
NPI
1578122305
Phone
(469) 230-5014
Address
333 Oakhurst Dr
Enumeration Date
5 June 2019
Last Update Date
5 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2007 (19 years ago)
PAC ID
8820591845
Professional Enrollment ID
I20260115002845
Address ID
OH447182545CA4535XNWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

13,290 INTERNAL MEDICINE in TX

Provider Addresses for SHOAIB MANSOOR

  • 333 Oakhurst Dr

    Murphy, TX 750944479

    Phone: (469) 230-5014

    Type: Location

  • 333, Oakhurst Drive, Murphy, Collin County, Texas, 75094, United States

    MURPHY, TX 750944479

    Phone: (469) 230-5014

    Type: Mailing

  • South Cedar Crest Boulevard, Bungalow Park, Cetronia, South Whitehall Township, Lehigh County, Pennsylvania, 18104, United States

    ALLENTOWN, PA 181036212

    Phone: (452) 961-0432

    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: 2026-01-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260115002845IInternal MedicineNYTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75094)

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Reviews

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Frequently asked questions

Can I use this page to confirm SHOAIB MANSOOR's NPI?
Yes. SHOAIB MANSOOR is listed with NPI 1578122305 in the public NPI dataset.
Does the file indicate SHOAIB MANSOOR is practicing under active NPI?
Directory data currently reports SHOAIB MANSOOR as active.
What taxonomy line describes SHOAIB MANSOOR?
For research purposes, treat SHOAIB MANSOOR as Nephrology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for SHOAIB MANSOOR?
SHOAIB MANSOOR's geographic hint is Murphy, Texas in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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