NPIMap

Individual provider Active NPI

Naseer H Nasser, M.D.

  • Interventional Cardiology Physician
  • Michigan City, IN
National Provider Identifier
1063436582
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
01056801A Issued in IN
Practice address
3500 Franciscan Way Ste 400
Michigan City, IN 46360-0033
Phone
(219) 878-8200
Fax
(219) 879-8331
NPI assigned
Jul 27, 2006
Last updated
Jun 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 01056801A IN
Clinical Cardiac Electrophysiology Physician 207RC0001X 01056801A IN
Interventional Cardiology Physician 207RI0011X 01056801A IN Primary

Addresses

Primary practice location

3500 Franciscan Way Ste 400
Michigan City, IN 46360-0033

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other practice location 1

211 N Eddy St
South Bend, IN 46617-2808
Phone (574) 239-1433

Other identifiers 2

IdentifierTypeStateIssuer
200872330MedicaidIN
146470D9OtherINMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060417000222 IL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Cardiac ElectrophysiologyPractitioner - Nuclear MedicinePractitioner - Interventional Cardiology 7315956562 Reassigns benefits to 1 organization
I20070917000260 IN Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Cardiac Electrophysiology 7315956562 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

3500 N Franciscan Way
Suite 400
Michigan City, IN 46360-0021
Phone (219) 861-5539

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting33
Pacemaker insertion or repair43
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Physician Network CurrentSince Apr 24, 2022 Accepting new patients
La Porte Clinic Company LLC CurrentSince Apr 20, 2022 Accepting new patients
Memorial Hospital of South Bend CurrentSince Oct 16, 2011 Accepting new patients
CGH Medical Center CurrentSince Dec 12, 2021 Accepting new patients
CGH Medical Center CurrentSince Dec 12, 2021 Accepting new patients
La Porte Clinic Company LLC Cardiovascular Disease CurrentSince Apr 20, 2022 Accepting new patients
Memorial Hospital of South Bend CurrentSince Oct 16, 2011 Accepting new patients
CGH Medical Center Current Accepting new patients
Franciscan Physician Network CurrentSince Apr 24, 2022 Accepting new patients
Cyfair Cardiology Assoc PA Cardiovascular Disease PastSince Sep 20, 2002 Accepting new patients

Locations

101 E Miller Rd
Sterling, IL 61081
Phone (815) 632-5285

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

104 E Culver Rd
Ste 105
Knox, IN 46534
Phone (574) 772-7300

1331 State St
Ste 140
La Porte, IN 46350
Phone (219) 324-0014

3500 Franciscan Way
Ste 400
Michigan City, IN 46360
Phone (219) 878-8200

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

615 N Michigan St
South Bend, IN 46601
Phone (574) 647-1000

Organizations & group practices 10

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1063436582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 FRANCISCAN WAY STE 400",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463600033",
            "telephone_number": "219-878-8200",
            "fax_number": "219-879-8331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 N Eddy St",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466172808",
            "country_code": "US",
            "telephone_number": "574-239-1433",
            "fax_number": "574-239-1438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASSER",
        "first_name": "NASEER",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01056801A",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "IN",
            "license": "01056801A",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IN",
            "license": "01056801A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200872330",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "146470D9",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Michigan City, IN

Sources for this page

Verify at the official NPI Registry.