Individual provider Active NPI

Mujahid A Nasir, MD

  • Family Medicine Physician
  • Elizabethtown, KY
National Provider Identifier
1083697205
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
39436 Issued in KY
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

Updated by the provider on Apr 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
64105539MedicaidKY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050609000534 KY Practitioner - Family Practice 9436192531 Reassigns benefits to 2 organizations

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
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians
Central Medical Associates PLLCGroup PAC ID 7012226301, 12 clinicians

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 Home health agency, Louisville, KY, CCN 187000
  • Caretenders Home health agency, Elizabethtown, KY, CCN 187145
  • Centerwell Home Health Home health agency, Elizabethtown, KY, CCN 187085
  • Baptist Health Hardin Hospital, Elizabethtown, KY, CCN 180012

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Medical Associates PLLC CurrentSince Aug 10, 2015 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2020 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2020 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.