IBRAHIM N. MANSOUR MD – NPI #1619076619
Internal Medicine

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Health Care Provider Taxonomy Code for Internal Medicine

IBRAHIM MANSOUR is a physician located in DEKALB, IL. NPPES has assigned the NPI number 1619076619 to IBRAHIM MANSOUR on September 22, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RI0011X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Interventional Cardiology Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on May 20, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for IBRAHIM MANSOUR below.

NPI Profile for
IBRAHIM N. MANSOUR

NPI Number
1619076619
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
IBRAHIM N. MANSOUR
Credentials
MD
Primary location
5 KISH HOSPITAL DR STE 103
DEKALB, IL 60115-9602
Phone: (630) 232-0280 Fax: (630) 232-3895
2 Other location(s):
840 S Wood St # Mc715
Chicago, IL 60612-4325
Phone: (312) 996-9086
601 W Kieffer Rd
Michigan City, IN 46360-9599
Phone: (219) 878-3217
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
May 20, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for IBRAHIM MANSOUR

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBLUE SHIELDIL3932056
medicaidIL036116574
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RI0011X
- Internal Medicine / Interventional Cardiology (Primary)		 IN 01064591A
207RC0000X
- Internal Medicine / Cardiovascular Disease		 IL 036116574
207R00000X
- Internal Medicine		 MI 4301095391
207Q00000X
- Family Medicine		 IL 036116574
207P00000X
- Emergency Medicine		 IL 036-116574

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
AMR DIRECT ADDRESS
Content Type
Affiliation
N
Endpoint Location
601 W KIEFFER RD,
MICHIGAN CITY, IN 77025-1669

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
IBRAHIM MANSOUR is affiliated with the following medical group(s):
  • HOSPITAL
    • SWEDISH AMERICAN HOSPITAL
      1401 EAST STATE STREET
      ROCKFORD, IL 61104
  • NURSING HOME
    • PARK VALLEY INN HEALTH CENTER
      17751 PARK VALLEY DRIVE
      ROUND ROCK, TX 78681

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.