BITA MANSOURI (MD) – Emergency Medicine Physician, NPI 1255593646

BITA MANSOURI (MD) is a healthcare provider. based in Grundy, Virginia. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. MD61682674 (WA). The NPI Number for BITA MANSOURI (MD) is 1255593646

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
BITA MANSOURI (MD)
NPI
1255593646
Phone
(276) 935-1000
Address
1535 Slate Creek Rd
Enumeration Date
27 June 2008
Last Update Date
22 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2098473012
Graduation Year
2008 (18 years ago)
PAC ID
0648441170
Group Practice PAC ID
9436406964
Professional Enrollment ID
I20250619001877
Address ID
CA953613519OA350XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience90
Completeness85
Years active:17State licenses:4Digital endpointsOther names

1,497 EMERGENCY MEDICINE in VA

Provider Addresses for BITA MANSOURI (MD)

  • 1535 Slate Creek Rd

    Grundy, VA 246146974

    Phone: (276) 935-1000

    Type: Location

  • 2400 Lee Hwy N

    Pulaski, VA 243012326

    Phone: (540) 994-8100

    Type: Location

  • Corporate Boulevard, Lafayette, Lafayette Parish, Louisiana, 70502, United States

    LAFAYETTE, LA 705083870

    Phone: (800) 893-9698

    Type: Mailing

  • 2145, Mount Pleasant Boulevard Southeast, Hampden Hills, Roanoke, Roanoke County, Virginia, 24014, United States

    ROANOKE, VA 24014

    Phone: (540) 427-9200

    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: 2025-10-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 7 Medicare enrollment records; no due dates published yet.

Enrollment records

7

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
I20110914000079IFamily PracticeVATBD
I20170623001550IFamily PracticeTNTBD
I20220909001190IEmergency MedicineWVTBD
I20250528000152IFamily PracticeAZTBD
I20250619001877IEmergency MedicineCATBD
I20250801002746IEmergency MedicineNVTBD
I20251022002656IEmergency MedicineWATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making108106$0
99284Emergency department visit with moderate level of medical decision making6765$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1717$0
99291Critical care, first 30-74 minutes1313$0
99283Emergency department visit with low level of medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 24614)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436406964View full group profile
NameSpecialtyState
Family Practice, Internal Medicine, Emergency MedicineCA
Emergency MedicineCA
-CA
Nurse PractitionerPA
-CA
-NM
-CA
-OR
Emergency MedicineKY
Emergency Medicine, Internal MedicineCA

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Frequently asked questions

How do payers reference BITA MANSOURI (MD)?
For BITA MANSOURI (MD), use NPI 1255593646 as the unique 10-digit identifier.
Is BITA MANSOURI (MD) shown as active in public data?
Registry records indicate BITA MANSOURI (MD) maintains an active NPI.
What clinical focus is listed for BITA MANSOURI (MD)?
At a glance, BITA MANSOURI (MD) is tied to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with BITA MANSOURI (MD)?
Directory geography for BITA MANSOURI (MD) centers on Grundy, Virginia.
Can I trust this NPI listing for BITA MANSOURI (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.