NPIMap

Individual provider Active NPI

Fawaz Nassar, MD

  • Internal Medicine Physician
  • Wilkes Barre, PA
National Provider Identifier
1053389890
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD417055 Issued in PA
Practice address
1111 E End Blvd
Wilkes Barre, PA 18711-0026
Phone
(570) 824-3521
NPI assigned
Mar 9, 2006
Last updated
Apr 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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 MD417055 PA Primary

Addresses

Primary practice location

1111 E End Blvd
Wilkes Barre, PA 18711-0026

Mailing address

5699 Reppert LN
Allentown, PA 18106-9132
Phone (570) 764-1814

Other practice location 1

1 Kirkland Village Cir
Bethlehem, PA 18017-4797
Phone (610) 691-4500

Other names 1

  • Dr. Fawaz Nassar Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051014000296 PA Practitioner - Internal MedicinePractitioner - Emergency Medicine 5799700183 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CH Specialty Services PA PCGroup PAC ID 2567827157, 75 clinicians
Curana Health of Pennsylvania PCGroup PAC ID 6507246345, 98 clinicians
H2 Rehabilitation Extension Services LLCGroup PAC ID 6406131622, shared by 5 NPIs, 161 clinicians

Practice addresses (Care Compare)

526 N Saint Cloud St
Suite 1601
Allentown, PA 18104-5041
Phone (337) 991-9276

7 S New St
Suite 1
Nazareth, PA 18064-2225
Phone (610) 755-8634

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD417055PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Physician Services, LLC Current Accepting new patients
Emergency Physician Associates of Pennsylvania, PC CurrentSince Jun 1, 2022 Accepting new patients
Curana Health of Pennsylvania PC Internal Medicine CurrentSince Jan 31, 2024 Accepting new patients
Regents of the University of California - Ucsd Medical Group Past Accepting new patients

Locations

526 N Saint Cloud St
#1601
Allentown, PA 18104

1 Kirkland Vlg
Bethlehem, PA 18017
Phone (610) 691-4500

300 Highland Ave
Hanover, PA 17331
Phone (717) 316-3711

1 Penn Blvd
Philadelphia, PA 19144
Phone (215) 951-8060

700 E Norwegian St
Pottsville, PA 17901
Phone (570) 621-4000

575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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

Hospital & facility affiliations 5

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1053389890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5699 REPPERT LN",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069132",
            "telephone_number": "570-764-1814",
            "fax_number": "570-764-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E END BLVD",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187110026",
            "telephone_number": "570-824-3521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Kirkland Village Cir",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180174797",
            "country_code": "US",
            "telephone_number": "610-691-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASSAR",
        "first_name": "FAWAZ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD417055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FAWAZ",
            "last_name": "NASSAR",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilkes Barre, PA

Sources for this page

Verify at the official NPI Registry.