William Nassour, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

47483 Issued in AZ

Practice address

13555 W McDowell Rd Ste 205
Goodyear, AZ 85395-2626

Phone

(623) 295-1190

Fax

(602) 429-8595

NPI assigned

Aug 18, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Internal Medicine

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Desert Wounds PLLCGroup PAC ID 2860634250, 5 clinicians

Leading Healthcare PLLCGroup PAC ID 1850652496, 42 clinicians

Leading Healthcare Clinic of Goodyear, LLCGroup PAC ID 7315377371, 5 clinicians

BHSM Rehabilitation LLCGroup PAC ID 2062773138, 450 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vanura Homehealth Services Arizona Home health agency, Sun City, AZ, CCN 037442
• Hospice of the Valley - West (031515) Hospice, Peoria, AZ, CCN 031515
• Dignity Hospice Hospice, Phoenix, AZ, CCN 031675
• Azul Hospice & Palliative Care Hospice, Scottsdale, AZ, CCN 031762
• Hospice of the Valley - Central Hospice, Phoenix, AZ, CCN 031500
• Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002
• Pam Health Rehabilitation Hospital of Surprise Inpatient rehabilitation facility, Surprise, AZ, CCN 033039
• Encompass Health Valley of the Sun Rehab Hospital Inpatient rehabilitation facility, Glendale, AZ, CCN 033032
• Reunion Rehabilitation Hospital Peoria LLC Inpatient rehabilitation facility, Peoria, AZ, CCN 033045
• Clearsky Rehabilitation Hospital of Avondale Inpatient rehabilitation facility, Avondale, AZ, CCN 033046
• Select Specialty Hospital Arizona Long-term care hospital, Phoenix, AZ, CCN 032005
• Phoenix Specialty Hospital Long-term care hospital, Mesa, AZ, CCN 032006
• Surprise Health and Rehabilitation Center Nursing home, Surprise, AZ, CCN 035297
• Palm Valley Post Acute Nursing home, Goodyear, AZ, CCN 035255
• Estrella Health And Rehabilitation Center Nursing home, Avondale, AZ, CCN 035166
• Sun City Post Acute Nursing home, Sun City, AZ, CCN 035225
• Az - Rio Vista Post Acute and Rehabilitation Nursing home, Peoria, AZ, CCN 035183

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• 91St Avenue Operations LLC

  • Skilled Nursing Facility
  • Phoenix, AZ
  • NPI 1659038719

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Apache Trail Healthcare, Inc.

  • Skilled Nursing Facility
  • Sun City West, AZ
  • NPI 1992212765

  Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

  CMS ownership
• Arroyo Health Hospice LLC

  • Community Based Hospice Care Agency
  • Phoenix, AZ
  • NPI 1619416864

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• Coldwater Springs Healthcare, Inc.

  • Skilled Nursing Facility
  • Avondale, AZ
  • NPI 1720745664

  Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

  CMS ownership
• Immanuel Caring Ministries, Inc.

  • Skilled Nursing Facility
  • Peoria, AZ
  • NPI 1265439889

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Ludden Healthcare LLC

  • Skilled Nursing Facility
  • Surprise, AZ
  • NPI 1487215067

  Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

  CMS ownership
• Palm Valley Healthcare, LLC

  • Skilled Nursing Facility
  • Goodyear, AZ
  • NPI 1558072645

  Contracted Managing Employee

  CMS ownership
• Ridgecrest Community Healthcare, LLC

  • Skilled Nursing Facility
  • Phoenix, AZ
  • NPI 1720799810

  Contracted Managing Employee

  CMS ownership
• Sunrise Mountain Healthcare LLC

  • Skilled Nursing Facility
  • Peoria, AZ
  • NPI 1245797968

  Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

  CMS ownership

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.

• Desert Wounds, PLLC

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1700224482

  AZ, Internal Medicine

  Medicare reassignment Care Compare group NPD
• Leading Healthcare Clinic of Goodyear LLC

  • Internal Medicine Physician
  • Goodyear, AZ
  • NPI 1902448566

  AZ, Internal Medicine

  Medicare reassignment Care Compare group NPD
• Leading Healthcare, LLC

  • Hospitalist Physician
  • Sun City, AZ
  • NPI 1356853691

  AZ, Hospitalist

  Medicare reassignment Care Compare group NPD
• Banner - University Hospital Based Physicians LLC

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1750751566

  AZ

  Medicare reassignment NPD
• Banner Hospital Based Physicians Arizona LLC

  • Multi-Specialty Clinic/Center
  • San Tan Valley, AZ
  • NPI 1275889891

  AZ

  Medicare reassignment NPD
• Cogent Healthcare of Arizona PC

  • Internal Medicine Physician
  • Sierra Vista, AZ
  • NPI 1568758266

  AZ, Internal Medicine

  Medicare reassignment NPD
• Leading Healthcare Specialist PLLC

  • Internal Medicine Physician
  • Peoria, AZ
  • NPI 1497390561

  AZ, Internal Medicine

  Medicare reassignment NPD
• Banner - University Hospital Based Physicians LLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1538879481
  NPD
• Banner Hospital Based Physicians Arizona LLC

  • Multi-Specialty Clinic/Center
  • Gilbert, AZ
  • NPI 1124374822
  NPD
• Banner Hospital Based Physicians Arizona LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Phoenix, AZ
  • NPI 1780445171
  NPD
• 91St Avenue Operations LLC

  • Skilled Nursing Facility
  • Phoenix, AZ
  • NPI 1659038719
  NPD (past)
• Apache Trail Healthcare, Inc.

  • Skilled Nursing Facility
  • Sun City West, AZ
  • NPI 1992212765
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Arroyo Health Hospice LLC

  • Community Based Hospice Care Agency
  • Phoenix, AZ
  • NPI 1619416864

  Hospice

  Care Compare affiliation
• Banner - University Medical Center Phoenix

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1841224870

  Hospital

  Care Compare affiliation
• Clearsky Rehabilitation Hospital of West Valley, LLC

  • Rehabilitation Hospital
  • Avondale, AZ
  • NPI 1063168243

  Inpatient rehabilitation facility

  Care Compare affiliation
• Cobalt Rehabilitation Hospital IV

  • Rehabilitation Hospital
  • Surprise, AZ
  • NPI 1679954002

  Inpatient rehabilitation facility

  Care Compare affiliation
• Coldwater Springs Healthcare, Inc.

  • Skilled Nursing Facility
  • Avondale, AZ
  • NPI 1720745664

  Nursing home

  Care Compare affiliation
• Encompass Health Valleyofthesun Rehabilitation Hospital, LLC

  • Rehabilitation Hospital
  • Glendale, AZ
  • NPI 1376517508

  Inpatient rehabilitation facility

  Care Compare affiliation
• Hospice of Sedona Inc

  • Community Based Hospice Care Agency
  • Scottsdale, AZ
  • NPI 1174192298

  Hospice

  Care Compare affiliation
• Hospice of the Valley

  • Community Based Hospice Care Agency
  • Peoria, AZ
  • NPI 1043238975

  Hospice

  Care Compare affiliation
• Hospice of the Valley

  • Community Based Hospice Care Agency
  • Phoenix, AZ
  • NPI 1588682405

  Hospice

  Care Compare affiliation
• Ludden Healthcare LLC

  • Skilled Nursing Facility
  • Surprise, AZ
  • NPI 1487215067

  Nursing home

  Care Compare affiliation
• My Home Health, Inc.

  • Home Health Agency
  • Sun City, AZ
  • NPI 1477968444
  Care Compare affiliation
• Palm Valley Healthcare, LLC

  • Skilled Nursing Facility
  • Goodyear, AZ
  • NPI 1558072645

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1104131820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13555 WEST MCDOWELL RD.",
            "address_2": "STE. 205",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952626",
            "telephone_number": "623-295-1190",
            "fax_number": "602-429-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13555 W MCDOWELL RD STE 205",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952626",
            "telephone_number": "623-295-1190",
            "fax_number": "602-429-8595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22922 N 40th Pl",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850508742",
            "country_code": "US",
            "telephone_number": "623-295-1109",
            "fax_number": "602-429-8595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11295 N 99th Ave Apt 5-122",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853455490",
            "country_code": "US",
            "telephone_number": "623-295-1190",
            "fax_number": "602-429-8595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASSOUR",
        "first_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-18",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "47483",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "47483",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY CODE",
            "identifier": "207R00000X",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "888134",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Ponce Nandin, M.D.
• Catherine Rose Napier, RN
• Prashant K Narain, M.D.
• Erika Elizabeth Nasrallah, FNP
• Mohammad Munzer Nasser, MD
• National Vision Inc
• National Vision, Inc.
• Nationwide Optometry P.C.
• Nationwide Optometry P.C.
• Naufali Nursing Solutions, PLLC

• All providers in Goodyear, AZ
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.