MAZEN MANSOUR (MD) – Urology Physician, NPI 1588393227

MAZEN MANSOUR (MD) is a healthcare provider. based in New hyde park, New York. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. 317961 (NY). The NPI Number for MAZEN MANSOUR (MD) is 1588393227

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
MAZEN MANSOUR (MD)
NPI
1588393227
Phone
(516) 734-8567
Address
450 LAKEVILLE ROAD, SUITE741
Enumeration Date
8 June 2022
Last Update Date
3 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2164445433
Graduation Year
2014 (12 years ago)
PAC ID
0446627137
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20240904001038
Address ID
OH441950001CL9500XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:4State licenses:2Digital endpointsOther names

1,044 UROLOGY in NY

Provider Addresses for MAZEN MANSOUR (MD)

  • 450 LAKEVILLE ROAD, SUITE741

    NEW HYDE PARK, NY 11042

    Phone: (516) 734-8567

    Fax: (516) 734-8537

    Type: Mailing

  • 9500 EUCLID AVE

    CLEVELAND, OH 441950001

    Phone: (216) 444-2200

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 60 Open Payments records for all available years, with a total value of $8,277.

Total Amount is formed as General ($8,277) + Research ($0) + Ownership ($0) = $8,277.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Boston Scientific Corporation ($3,122).

Total Amount

$8,277

General + Research + Ownership

Payments

60

Total payment records

General Amount

$8,277

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-09-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20221109002780IUrologyNYTBD
I20240904001038IUrologyOHTBD

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 11042)

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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: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

Reviews

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Frequently asked questions

Is MAZEN MANSOUR (MD) listed with a National Provider Identifier?
Yes — MAZEN MANSOUR (MD) has NPI 1588393227 on file in the registry.
Is MAZEN MANSOUR (MD) shown as active in public data?
Registry records indicate MAZEN MANSOUR (MD) maintains an active NPI.
What area of care is associated with MAZEN MANSOUR (MD)?
MAZEN MANSOUR (MD)'s record emphasizes Urology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MAZEN MANSOUR (MD)?
Travel planning: use New Hyde Park, New York as the reference point for MAZEN MANSOUR (MD), then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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