Individual provider Active NPI

Hugh Shang Nasr, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Palm Springs, CA
National Provider Identifier
1073588737
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
G46203 Issued in CA
Practice address
1401 N Palm Canyon Drive
101
Palm Springs, CA 92262
Phone
(760) 320-6027
Fax
(760) 320-4820
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X G46203 CA Primary

Addresses

Primary practice location

1401 N Palm Canyon Drive
101
Palm Springs, CA 92262

Mailing address

1401 N Palm Canyon Drive
101
Palm Springs, CA 92262
Phone (760) 320-6027

Other identifiers 1

IdentifierTypeStateIssuer
00G462030MedicaidCA

Other names 1

  • Hooshang Nasr Former name

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
I20111115000847 CA Practitioner - Internal Medicine 0547384042 Practice locations: Palm Springs, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Harvard Medical School, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1401 N Palm Canyon Dr
Palm Springs, CA 92262-4434
Phone (760) 320-6027

Hospital & facility affiliations

  • Eisenhower Medical Center Hospital, Rancho Mirage, CA, CCN 050573
  • Hi-Desert Medical Center Hospital, Joshua Tree, CA, CCN 050279
  • Desert Regional Medical Center Hospital, Palm Springs, CA, CCN 050243

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G46203CAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Imaging Services Past Accepting new patients
Hi-Desert Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hugh.nasr.p34@direct.mydohc.nextgenshare.com

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 3

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1073588737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 N PALM CANYON DRIVE",
            "address_2": "101",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "92262",
            "telephone_number": "760-320-6027",
            "fax_number": "760-320-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 N PALM CANYON DRIVE",
            "address_2": "101",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "92262",
            "telephone_number": "760-320-6027",
            "fax_number": "760-320-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASR",
        "first_name": "HUGH",
        "middle_name": "SHANG",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "G46203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G462030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOOSHANG",
            "last_name": "NASR",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.