Roozbeh Mansour, MD - Medicare General Surgery in Detroit, MI

Roozbeh Mansour, MD is a medicare enrolled "Surgery" physician in Detroit, Michigan. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice University Physician Group and his current practice location is 4160 John R St Ste 615, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 745-8773.

Roozbeh Mansour is licensed to practice in Michigan (license number 4301092120) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063745388.

Contact Information

Roozbeh Mansour, MD
4160 John R St Ste 615,
Detroit, MI 48201-2022
(313) 745-8773
(313) 993-0595

Map and Direction




Physician's Profile

Full NameRoozbeh Mansour
GenderMale
SpecialityGeneral Surgery
Experience20 Years
Location4160 John R St Ste 615, Detroit, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Roozbeh Mansour graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1063745388
  • Provider Enumeration Date: 09/18/2009
  • Last Update Date: 04/18/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3072828367
  • Enrollment ID: I20190416001110

Medical Identifiers

Medical identifiers for Roozbeh Mansour such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063745388NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 01076835A (Indiana)Secondary
208600000XSurgery 4301092120 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Detroit Receiving HospitalDetroit, MIHospital
Harper University HospitalDetroit, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Physician Group8628087681341

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Roozbeh Mansour allows following entities to bill medicare on his behalf.
Entity NameMclaren Port Huron
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386888170
PECOS PAC ID: 9931018702
Enrollment ID: O20040204000779
Entity NameUniversity Physician Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447299797
PECOS PAC ID: 8628087681
Enrollment ID: O20060419000518

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Roozbeh Mansour is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Roozbeh Mansour, MD
4160 John R St Ste 615,
Detroit, MI 48201-2022

Ph: (313) 745-8773
Roozbeh Mansour, MD
4160 John R St Ste 615,
Detroit, MI 48201-2022

Ph: (313) 745-8773

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.