DR. NASIRUDDIN MANSURY (NPI# 1184764706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184764706 |
| Entity Type | Individual |
| Full Name | DR. NASIRUDDIN MANSURY |
| Credential | MD |
| Practice Address |
611 W. Park Street Neonalogy Urbana IL 61801-2500 |
| Mailing Address |
611 W. Park St. Bwpc Urbana IL 61801-2500 |
| Practice Telephone | 2173833395 |
| Practice Fax Number | 2173833463 |
| Mailing Telephone | 2173836792 |
| Mailing Fax Number | 2173834752 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2014-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 036111882 | IL | Allopathic & Osteopathic Physicians |
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
36111882 | IL | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 036111882 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
611 W. PARK STREET NEONALOGY |
| City | URBANA |
| State | IL |
| Zip Code | 61801-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811966781 | William (brad) B Weir | Emergency Medicine | 611 W. Park Street, Emergency Medicine, Urbana, IL 61801 | 2006-03-14 |
| 1720565336 | Julia Elisabeth Rozier | Family Medicine | 611 W. Park Street, Carle Gme, Urbana, IL 61801 | 2018-07-26 |
| 1477971851 | Danielle Berger | Nurse Practitioner | 611 W. Park Street, Urbana, IL 61801-2500 | 2014-04-02 |
| 1134562424 | Kelly Flores | Nurse Anesthetist, Certified Registered | 611 W. Park Street, Urbana, IL 61801-2500 | 2013-04-17 |
| 1366673238 | Saad Adoni | Internal Medicine | 611 W. Park Street, Hospitalist Services, Urbana, IL 61801 | 2009-07-27 |
| 1730342379 | Svitlana Antonova | Family Medicine | 611 W. Park Street, Hospitalist Services, Urbana, IL 61801 | 2008-07-03 |
| 1851553903 | James Alvin Enderle | Emergency Medicine | 611 W. Park Street, Urbana, IL 61801-2500 | 2008-06-30 |
| 1174793160 | Renato Alcaraz, Jr Jr. | Hospitalist | 611 W. Park Street, Hospitalist Services, Urbana, IL 61801 | 2008-03-05 |
| 1538339528 | Ellaine Alcaraz | Internal Medicine | 611 W. Park Street, Hospitalist Services, Urbana, IL 61801 | 2008-03-05 |
| 1649483736 | James Sujit Kumar | Internal Medicine | 611 W. Park Street, Hospitalist Services, Urbana, IL 61801-2500 | 2007-05-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566084 | Avani Sushilkumar Mohta | Internal Medicine | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2020-07-29 |
| 1922617133 | Recovery Concepts Urbana, LLC | Clinic/Center | 710 W. Killarney St., Urbana, IL 61801 | 2020-07-24 |
| 1447877089 | Muhammad Khalid Abbas | Internal Medicine | 611 W Park St Urbana, Urbana, IL 61801 | 2020-06-30 |
| 1003430166 | Conlan Joseph Pierce | Surgery | 601 W Park St, Urbana, IL 61801 | 2020-06-04 |
| 1568090900 | Luke Andrew Fenlon | Student in an Organized Health Care Education/Training Program | Carle Forum Lower Level, Mc-474, 611 West Park Street, Urbana, IL 61801 | 2020-03-31 |
| 1912559691 | Ali Baltaji | Internal Medicine | 101 N Busey Apt 7, Urbana, IL 61801 | 2019-07-12 |
| 1821510918 | Pallavi Pradeep | Internal Medicine | Imrp, Carle Foundation Hospital, 611 W Park Street, Urbana, IL 61801 | 2017-07-11 |
| 1093236002 | Angela Lynn Devaney | Speech-Language Pathologist | 1400 W Park, Presence Covenant Medical Center, Urbana, IL 61801 | 2017-06-29 |
| 1346775236 | Jennifer Garcia | Student in an Organized Health Care Education/Training Program | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2017-04-27 |
| 1467992537 | Amber Kristine Davis | Speech-Language Pathologist | 1400 W. Park, Presence Health Medical Center, Urbana, IL 61801 | 2017-03-08 |
| Find all providers in zip 61801 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578970851 | Aaron Radish | Hospitalist | 611 W Park St, Urbana, IL 61801-2529 | 2014-07-17 |
| 1265844187 | Gary T Marshall | Hospitalist | 611 W Park St, Urbana, IL 61801-2529 | 2014-05-27 |
| 1598185811 | Sean I-chun Hsu | Hospitalist | 611 W. Park St., Hospitalist, Urbana, IL 61801-2500 | 2014-04-25 |
| 1174793160 | Renato Alcaraz, Jr Jr. | Hospitalist | 611 W. Park Street, Hospitalist Services, Urbana, IL 61801 | 2008-03-05 |
| 1033218854 | Crystal D Radnitzer | Hospitalist | 611 W. Park Street, Hospitalist Services, Urbana, IL 61801 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902397078 | Rebecca Abraham | Hospitalist | 5145 N California Ave Ofc M331, Chicago, IL 60625 | 2018-05-24 |
| 1780128231 | A.m. Healthcare Inc | Hospitalist | 17 E 22nd Pl, Sterling, IL 61081-1263 | 2016-12-16 |
| 1265989875 | Advance Inpatient Medicine LLC | Hospitalist | 903 Commerce Drive, Suite 333, Oak Brook, IL 60523 | 2016-09-01 |
| 1164888939 | Inpatient Consultants of Illinois, P.C. | Hospitalist | 1333 Butterfield Rd Ste 130, Downers Grove, IL 60515-5641 | 2016-01-11 |
| 1437544764 | Victoria Grace Behrend | Hospitalist | 259 East Erie St, Chicago, IL 60611 | 2015-04-02 |
| 1881088995 | Raksha Nepal | Hospitalist | 4440w 95th St, Oak Lawn, IL 60453-2600 | 2015-03-26 |
| 1639562267 | Alexandra Steverson | Hospitalist | 2322 N Commonwealth Ave Apt 314, Chicago, IL 60614-3408 | 2015-03-06 |
| 1710398474 | Andrew Shabila | Hospitalist | 9977 Woods Dr Ste B70, Skokie, IL 60077-1057 | 2014-05-15 |
| 1124463401 | Forte Hospitalist Services, LLC | Hospitalist | 2250 N. Illinois Ave., Carbondale, IL 62901 | 2013-05-01 |
| 1255774527 | Ketevan Gvalia | Hospitalist | 170 W Polk St Apt 1007, Chicago, IL 60605 | 2013-04-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.