Doctor profile · Federal record
Dr. Shukufa Mansouri, PA-C
Physician Assistant · Longview, TX
- NPI 1770171977
- Accepts Medicare
- MIPS 90.1 / 100 · 2023
- 6 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
Christus Good Shepherd Medical Center, 700 East Marshall Avenue
Longview, TX 75601
(804) 368-4302 - Additional location
-
14201 Michaux View Way
Midlothian, VA 231136852 - Mailing address
-
700 E Marshall Ave
Longview, TX 756015580
Credentials & registration
- NPI registered
- January 2021 — 5 yrs on file
- Profile last updated
- October 9, 2025
- Year of graduation
- 2020 — 6 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Virginia #0110-007625
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1770171977. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
286
Distinct HCPCS
4
Medicare allowed
$33,371
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99285 |
Emergency department visit with high level of medical decision making | 159 | 156 | $144 | |
93010 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 57 | 55 | $7 | |
99291 |
Critical care, first 30-74 minutes | 40 | 40 | $176 | |
99284 |
Emergency department visit with moderate level of medical decision making | 30 | 30 | $101 |
In context: peer comparison
Among 16 peers in this city , average services per provider: 153. This provider delivers 1.9× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
65
Patients
64
Total drug cost
$368
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Ondansetron Odt (Ondansetron) | Brand | 21 | 21 | $201 |
| Prednisone | Generic | 16 | 15 | $31 |
| Cephalexin | Generic | 14 | 14 | $88 |
| Dicyclomine Hcl | Generic | 14 | 14 | $48 |
Hospital affiliations
Frequently asked questions
What is Dr. Shukufa Mansouri's medical specialty?
Dr. Shukufa Mansouri practices Physician Assistant in Longview, TX.
Where does Dr. Shukufa Mansouri practice?
Dr. Shukufa Mansouri practices at Christus Good Shepherd Medical Center, Longview, TX 75601. Office phone: 8043684302.
What is Dr. Shukufa Mansouri's NPI?
Dr. Shukufa Mansouri's National Provider Identifier (NPI) is 1770171977, issued by NPPES.
Does Dr. Shukufa Mansouri accept Medicare assignment?
Yes. Dr. Shukufa Mansouri accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Shukufa Mansouri commonly perform?
Top Medicare-reported procedures in 2023: Emergency department visit with high level of medical decision making (HCPCS 99285); Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS 93010); Critical care (HCPCS 99291). Source: CMS Medicare Physician & Other Practitioners file.