Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639758089 Individual Practitioner Female Practitioner

Dr. Wasila Mansouri , MD

Pediatrics • Walpole, MA

Professional Overview & Biography Verified Profile Summary

Dr. Wasila Mansouri, MD is a registered healthcare professional specializing in Pediatrics in Walpole, MA. Practice services are available at 1350 MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1350 Main St

Walpole, MA 020811718

Telephone 5086682200
Associated Practice Facility / Clinic
🏢 Walpole Pediatric Assoc., Pc Facility NPI 1710055967

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Walpole, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
9 Specialists

Practicing in Walpole, MA (2760 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-30
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MA 1019919

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
NPI 1174524524

Doctor of Medicine (M.D.)

NPI 1255332821

Doctor of Medicine (M.D.)

NPI 1326040783

Doctor of Medicine (M.D.)

NPI 1366644122

Doctor of Medicine (M.D.)

NPI 1396707550

Doctor of Medicine (M.D.)

NPI 1477892032

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location September 30, 2024

Registered at 1350 MAIN ST, WALPOLE, MA 020811718 (Tel: 5086682200)

👤
Provider Name / Credentials Updated September 30, 2024

Recorded as WASILA MANSOURI, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2024

Pediatrics (License #1019919 in MA)

NPI Profile Active April 05, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location April 05, 2021

Registered at 800 WASHINGTON ST, BOSTON, MA 021111552 (Tel: 6176368100)

📍
Updated Business Mailing Address April 05, 2021

Registered at 11 COOPER AVE, TROY, NY 121802703 (Tel: 5189610666)

👤
Provider Name / Credentials Updated April 05, 2021

Recorded as WASILA MANSOURI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 05, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639758089
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2021
Last Update: September 30, 2024
Sole Proprietor: No

Mailing Address

11 Cooper Ave

Troy, NY 121802703

Phone: 5189610666

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.