Mohamed Bosher Mansour, MD
Internal Medicine (CMS) · Saint Clair Shores, MI
At a glance
21000 E 12 Mile Rd Ste 112, Saint Clair Shores, MI 48081-1156
NPPES record updated Sep 11, 2026. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
21000 E 12 Mile Rd Ste 112Saint Clair Shores, MI 48081-1156
Additional reported practice locations
2142 N Cove BlvdToledo, OH 43606
Phone: 4192914000
Fax: 4194796102 22101 Moross Rd
Professional Building 2 Suite 50
Detroit, MI 482362148
Phone: 3133437784 22101 Moross Rd
Professional Building 2 Suite 50
Detroit, MI 482362148
Phone: 3133437784 50505 Schoenherr Rd Ste 290
Shelby Twp, MI 483153141
Phone: 5863140080
Fax: 8776733562
Education & affiliations
- Medical / professional school
- Not reported in this file
- Graduation year
- 2013
- CMS specialties
- Internal Medicine
CMS reports telehealth services for this clinician. Confirm current services and availability with the practice.
Practice groups
Reported hospital affiliations
- Beaumont Hospital - Grosse Pointe Grosse Pointe, MI
- Henry Ford Health St John Hospital Detroit, MI
- Henry Ford Macomb Hospital Clinton Township, MI
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Source: CMS Facility Affiliation Data · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Service-mix comparison is unavailable for this NPI in the imported Medicare service file.
Industry-reported general payments
Includes reported transfers of value, such as meals, travel, or consulting. Payments do not establish improper conduct or quality of care. Research funding and ownership values are excluded from this total.
See payment purposes and reporting companies
Reported purposes
| Purpose | Amount |
|---|---|
| Education | $1,500.00 |
| Food and beverage | $15.42 |
Reporting companies
| Company | Amount |
|---|---|
| INTUITIVE SURGICAL, INC. | $1,500.00 |
| GLAXOSMITHKLINE, LLC. | $15.42 |
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Internal Medicine (CMS)
- Taxonomy code
- 207RP1001X
- Enumeration date
- Apr 27, 2016
- Record updated
- Sep 11, 2026
More registry details
- Provider type
- Individual · Type 1
- Reported credentials
- MD
Reported taxonomies and licenses
208M00000X
License reported: 35135917 OH
207RP1001X · Primary
License reported: 4301117214 MI
207RC0200X
License reported: 4301117214 MI
207R00000X
License reported: 4301109257 MI
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
21000 E 12 Mile Rd Ste 112Saint Clair Shores, MI 48081-1156
- Phone
- (586) 772-5550
- Fax
- (586) 772-2470
Mailing address
50505 SCHOENHERR RD STE 290SHELBY TOWNSHIP, MI 483153141
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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