Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ishrat Mansuri, MD

Individual provider Pediatrics Physician · NPI 1922335835

Ishrat Mansuri, MD is a Gastroenterology in Boston, Massachusetts. Qualified in 2002, 24 years ago. Practices with Children's Hospital Pediatric Associates, Inc, a 336-clinician group and accepts Medicare assignment. Licensed in Massachusetts, Minnesota and New York.

Years since qualifying
24
Licensed in
MA, MN, NY
In the registry since
2009
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 Longwood Ave
Boston, MA 02115-5724
Phone: (617) 355-6058
Fax: (617) 730-4841
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Gastroenterology Physician (primary) Taxonomy 2080P0206X · Licence 267632 (MA)
Pediatrics Physician Taxonomy 208000000X · Licence 56984 (MN)
Pediatrics Physician Taxonomy 208000000X · Licence 106825 (MN)
Pediatrics Physician Taxonomy 208000000X · Licence 004124 (NY)
Pediatric Gastroenterology Physician Taxonomy 2080P0206X · Licence 56984 (MN)

Record details

NPI number1922335835
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 13, 2009
Last updated in NPPESDecember 7, 2021
Certification dateDecember 7, 2021
Mailing address300 Longwood Ave, Boston, MA 02115-5724

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Also practisesPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Children'S Hospital Pediatric Associates, Inc — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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