Individual provider Active NPI

Tony K. Nasser, MD

  • Cardiovascular Disease Physician
  • Terre Haute, IN
National Provider Identifier
1104803295
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01041492A Issued in IN
Practice address
2723 S 7TH Street
Suite a
Terre Haute, IN 47802-3558
Phone
(812) 232-8164
Fax
(812) 234-6391
NPI assigned
Dec 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 01041492A IN Primary

Addresses

Primary practice location

2723 S 7TH Street
Suite a
Terre Haute, IN 47802-3558

Mailing address

2723 S 7TH Street
Suite a
Terre Haute, IN 47802-3558
Phone (812) 232-8164

Other identifiers 1

IdentifierTypeStateIssuer
200089070MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040622001138 IN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 0042295180 Reassigns benefits to 1 organization
I20131120000896 IL Practitioner - Cardiovascular Disease (Cardiology) 0042295180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Indiana University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical Group, LLCGroup PAC ID 9335135995, 27 clinicians

Practice addresses (Care Compare)

1606 N 7TH St
Providence Medical Group
Terre Haute, IN 47804-2706
Phone (812) 232-8164

2723 S 7TH St
Terre Haute, IN 47802-3558

2723 S 7TH St a
Terre Haute, IN 47802-3558

2723 S 7TH St C
Terre Haute, IN 47802-3558
Phone (812) 232-5936

3901 S 7TH St
Providence Medical Group
Terre Haute, IN 47802-5709
Phone (812) 232-8164

410 N 2ND St
Marshall, IL 62441-1010
Phone (217) 826-2361

727 E Court St
Paris, IL 61944-2460
Phone (217) 465-2606

801 S Main St
Providence Medical Group
Clinton, IN 47842-2261
Phone (812) 232-8164

Hospital & facility affiliations

  • Union Hospital Inc Hospital, Terre Haute, IN, CCN 150023
  • Paris Community Hospital Hospital, Paris, IL, CCN 141320
  • Terre Haute Regional Hospital Hospital, Terre Haute, IN, CCN 150046
  • Union Hospital Clinton Hospital, Clinton, IN, CCN 151326
  • Crawford Memorial Hospital Hospital, Robinson, IL, CCN 141343

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01041492AINMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital, Inc. Cardiovascular Disease Current Accepting new patients
Union Hospital, Inc. CurrentSince Oct 1, 2015 Accepting new patients
Providence Medical Group LLC CurrentSince Oct 1, 2012 Accepting new patients
Union Hospital Inc CurrentSince Oct 1, 2015 Accepting new patients
Union Hospital Inc. Current Accepting new patients
Care Group LLC Cardiovascular Disease Past Accepting new patients
The Care Labs, LLC Past Accepting new patients
Major Hospital Past Accepting new patients
St. Vincent Carmel Hospital, Inc. Past Accepting new patients
St. Vincent Medical Group, Inc. Past Accepting new patients

Locations

410 N 2nd St
Marshall, IL 62441
Phone (217) 826-2358

721 E Court St
Paris, IL 61944
Phone (217) 465-4141

801 S Main St
Clinton, IN 47842
Phone (765) 832-1212

2723 S 7th St
Ste A
Terre Haute, IN 47802
Phone (812) 238-1730

2723 S 7th St
Terre Haute, IN 47802
Phone (812) 232-1418

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

Interoperability endpoints

  • Direct secure messaging: tnasser@unionhealth.cernerdirect.com

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419206400000",
    "number": "1104803295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2723 S 7TH STREET",
            "address_2": "SUITE A",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478023558",
            "telephone_number": "812-232-8164",
            "fax_number": "812-234-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2723 S 7TH STREET",
            "address_2": "SUITE A",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478023558",
            "telephone_number": "812-232-8164",
            "fax_number": "812-234-6391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSER",
        "first_name": "TONY",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2014-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01041492A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200089070",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.