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DR. MOUSSA CHAFIC MANSOUR MD NPI 1588649560


NPI Information

NPI: 1588649560
Provider Name: DR. MOUSSA CHAFIC MANSOUR, MD
Classification: Internal Medicine - 207RC0001X
Entity Type: Individual

Specialization: Clinical Cardiac Electrophysiology

PECOS Registration: Yes

Address:
55 FRUIT ST
ELECTROPHYSIOLOGY LAB ARRHYTHMIA SERVICE GRB 109
BOSTON, MA
ZIP 02114
Phone: (617) 726-5067
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DR. Moussa Chafic Mansour, MD is a clinical cardiac electrophysiology internal medicine in Boston, MA with 30 years of experience. The provider is a field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. DR. Moussa Chafic Mansour, MD NPI is 1588649560. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

55 FRUIT ST
ELECTROPHYSIOLOGY LAB ARRHYTHMIA SERVICE GRB 109
BOSTON, MA
ZIP 02114-621
Phone: (617) 726-5067
Fax: (617) 724-1241

The NPI 1588649560 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Remote evaluations of single, dual, or multiple lead pacemaker system with qualified health care professional analysis, review, and report, up to 90 days (HCPCS:93294)
  • Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)
  • Remote evaluations of defibrillator up to 90 days with analysis, review and report (HCPCS:93295)
  • Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report (HCPCS:93280)
  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)

The enumeration date for this NPI number is 12/13/2005 and was last updated on 11/16/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine161196MASSACHUSETTSNo
2207RC0000XInternal MedicineCardiovascular Disease161196MASSACHUSETTSNo
3207RC0001XInternal MedicineClinical Cardiac Electrophysiology161196MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1161196OTHERMASSACHUSETTSTUFTS HEALTH PLAN
2J24554OTHERMASSACHUSETTSBCBS MA
30190811MEDICAIDMASSACHUSETTS
4A33618MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
5H55993MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.