Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407205354 Individual Practitioner Female Practitioner

Dr. Amanda Mansouri , MD

General Practice • Austin, TX

Professional Overview & Biography Verified Profile Summary

Dr. Amanda Mansouri, MD is a registered healthcare professional specializing in General Practice in Austin, TX. Practice services are available at 4701 MONTEREY OAKS BLVD APT 325 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4701 Monterey Oaks Blvd Apt 325
Not A Physical Location

Austin, TX 787491083

Telephone 8652741074

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Austin, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.0 Yrs
State Avg: 27.9 Yrs
Regional Practice Density
47 Specialists

Practicing in Austin, TX (1183 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: 2023-06-19
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License TN 62255

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

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

20 Historical Events
📍
Updated Practice Location June 19, 2023

Registered at 4701 MONTEREY OAKS BLVD APT 325, NOT A PHYSICAL LOCATION, AUSTIN, TX 787491083 (Tel: 8652741074)

📍
Updated Business Mailing Address June 19, 2023

Registered at 4701 MONTEREY OAKS BLVD APT 325, AUSTIN, TX 787491083

📍
Updated Practice Location April 02, 2021

Registered at 1730 EAST HOLLY AVENUE, PUSH HEALTH, EL SEGUNDO, CA 90245 (Tel: 8658880380)

📍
Updated Practice Location March 08, 2021

Registered at 1175 PINEVILLE RD APT 73, CHATTANOOGA, TN 374052650 (Tel: 6042174178)

📍
Updated Business Mailing Address March 08, 2021

Registered at 1175 PINEVILLE RD APT 73, CHATTANOOGA, TN 374052650 (Tel: 6042174178)

👤
Provider Name / Credentials Updated November 08, 2020

Recorded as AMANDA MANSOURI, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2020

General Practice (License #62255 in TN)

📍
Updated Practice Location July 24, 2020

Registered at 12807 HEATHLAND DR, KNOXVILLE, TN 379344445 (Tel: 8652741074)

📍
Updated Business Mailing Address July 24, 2020

Registered at 12807 HEATHLAND DR, KNOXVILLE, TN 379344445 (Tel: 8652741074)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2020

Homemaker

📍
Updated Practice Location April 19, 2019

Registered at 910 BLACKFORD ST, CHATTANOOGA, TN 374031405 (Tel: 4237786217)

📍
Updated Business Mailing Address April 19, 2019

Registered at 910 BLACKFORD ST, CHATTANOOGA, TN 374031405 (Tel: 4237786217)

👤
Provider Name / Credentials Updated April 19, 2019

Recorded as AMANDA DEBUHR-MANSOURI, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2019

Student in an Organized Health Care Education/Training Program

NPI Profile Active June 10, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 10, 2016

Registered at 320 E NORTH AVE, PITTSBURGH, PA 152124756 (Tel: 4124571064)

📍
Updated Business Mailing Address June 10, 2016

Registered at 320 E NORTH AVE, PITTSBURGH, PA 152124756 (Tel: 4124571064)

👤
Provider Name / Credentials Updated June 10, 2016

Recorded as AMANDA MANSOURI, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2016

Student in an Organized Health Care Education/Training Program (License #DON'T HAVE YET in PA)

🟢
Initial NPI Registration & Enumeration June 10, 2016

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: 1407205354
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2016
Last Update: June 19, 2023
Sole Proprietor: No

Mailing Address

4701 Monterey Oaks Blvd Apt 325

Austin, TX 787491083

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.