Active NPI
Mujahid A Nasir, MD
- Family Medicine Physician
- Elizabethtown, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 39436
- Practice address
- 1311 Ring Rd
Ste 101
Elizabethtown, KY 42701-8941 - Phone
- (270) 900-4555
- Fax
- (270) 900-4636
- NPI assigned
- Nov 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 39436 | KY | Primary |
Addresses
Primary practice location
1311 Ring Rd
Ste 101
Elizabethtown, KY 42701-8941
Mailing address
1321 Ring Rd
Ste 105
Elizabethtown, KY 42701-8940
Phone (270) 986-7373
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64105539 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1009 N Mulberry St
Elizabethtown, KY 42701-2036
Phone (270) 979-7109
1311 Ring Rd
Suite 101
Elizabethtown, KY 42701-8941
Phone (270) 900-4555
Hospital & facility affiliations
- Vna Health at Home
- Caretenders
- Centerwell Home Health
- Baptist Health Hardin
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Medical Associates PLLC | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Hardin Professional Services | Past | Accepting new patients | |
| Xavier Healthcare, PLLC | Family Medicine | Past | Accepting new patients |
Locations
1009 N Mulberry St
Elizabethtown, KY 42701
Phone (270) 979-7109
1321 Ring Rd
Ste 105
Elizabethtown, KY 42701
Phone (270) 986-7372
1311 Ring Rd
Ste 101
Elizabethtown, KY 42701
Phone (270) 900-4555
1111 Ring Rd
Elizabethtown, KY 42701
Phone (270) 706-5010
913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212
3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313
1360 Rogersville Rd
Radcliff, KY 40160
Phone (270) 351-1150
700 W Lincoln Trail Blvd
Radcliff, KY 40160
Phone (270) 351-3192
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 and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Internal Medicine Physician
- Elizabethtown, KY
- NPI 1629461751
-
- Urgent Care Clinic/Center
- Louisville, KY
- NPI 1508269200
-
- Non-Pharmacy Dispensing Site
- Elizabethtown, KY
- NPI 1124445226
-
- Family Medicine Physician
- Elizabethtown, KY
- NPI 1962433680
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elizabethtown, KY
- NPI 1689282147
-
- Home Health Agency
- Elizabethtown, KY
- NPI 1992958250
-
- Home Health Agency
- Elizabethtown, KY
- NPI 1598748600
-
- Home Health Agency
- Louisville, KY
- NPI 1114279510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493164800000",
"number": "1083697205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 RING RD",
"address_2": "STE 105",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427018940",
"telephone_number": "270-986-7373",
"fax_number": "270-900-4636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1311 RING RD",
"address_2": "STE 101",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427018941",
"telephone_number": "270-900-4555",
"fax_number": "270-900-4636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASIR",
"first_name": "MUJAHID",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2017-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "39436",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64105539",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elizabethtown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.