Individual provider Active NPI

Allan T Nassar, MD

  • Internal Medicine Physician
  • Madera, CA
National Provider Identifier
1033129135
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A61181 Issued in CA
Practice address
1111 W 4TH St
Blding B
Madera, CA 93637-4474
Phone
(559) 662-2705
Fax
(559) 673-1588
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A61181 CA Primary

Addresses

Primary practice location

1111 W 4TH St
Blding B
Madera, CA 93637-4474

Mailing address

1111 W 4TH St
Blding B
Madera, CA 93637-4474
Phone (559) 662-2705

Other identifiers 3

IdentifierTypeStateIssuer
GR0068140MedicaidCA
LAB13493FMedicaidCA
1699004044MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081213000121 CA Practitioner - Internal Medicine 4981765674 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Internal Medicine Associates IncGroup PAC ID 0648402578, 2 clinicians
Community Health PartnersGroup PAC ID 6608280268, 497 clinicians

Practice addresses (Care Compare)

1111 W 4TH St
BLDG B
Madera, CA 93637-4474
Phone (559) 662-2700

45 E River Park PL W
Fresno, CA 93720-1565
Phone (559) 320-0530

Hospital & facility affiliations

  • Community Home Care Home health agency, Fresno, CA, CCN 057248
  • Omnia Healthcare, LLC Home health agency, Clovis, CA, CCN 059683
  • Madera Community Hospital Hospital, Madera, CA, CCN 050856
  • Saint Agnes Medical Center Hospital, Fresno, CA, CCN 050093
  • Community Regional Medical Center Hospital, Fresno, CA, CCN 050060
  • Clovis Community Medical Center Hospital, Clovis, CA, CCN 050492

Merit-based Incentive Payment System (MIPS)

Final score
91.46 of 100Reported as individual
Quality
93.84
Improvement activities
40
Cost
79.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions12
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
61181CAMDDentist
A61181CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Internal Medicine Associates, Inc Internal Medicine CurrentSince Feb 22, 2014 Accepting new patients
Community Health Partners CurrentSince Jan 5, 2026 Accepting new patients

Locations

45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550

1111 W 4th St
Bldg B
Madera, CA 93637
Phone (559) 662-2700

805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEBIAA/Endpoint/BEBIAA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300752000000",
    "number": "1033129135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W 4TH ST",
            "address_2": "BLDING B",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936374474",
            "telephone_number": "559-662-2705",
            "fax_number": "559-673-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W 4TH ST",
            "address_2": "BLDING B",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936374474",
            "telephone_number": "559-662-2705",
            "fax_number": "559-673-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSAR",
        "first_name": "ALLAN",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2011-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A61181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0068140",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB13493F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699004044",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

Verify at the official NPI Registry.