Individual provider Active NPI

Kerellos Athanacios-Nabeh Nasr, M.D.

  • Orthopaedic Surgery Physician
  • Detroit, MI
National Provider Identifier
1114236171
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4301092883 Issued in MI
Practice address
4201 Saint Antoine St # 6D5.5
Detroit, MI 48201-2153
Phone
(313) 966-8013
Fax
(313) 993-2890
NPI assigned
Sep 24, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 4301092883 MI Primary

Addresses

Primary practice location

4201 Saint Antoine St # 6D5.5
Detroit, MI 48201-2153

Mailing address

4201 Saint Antoine St # 6D5.5
Detroit, MI 48201-2153
Phone (313) 966-8013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20140828002230 MI Practitioner - Orthopedic Surgery 9830317163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Wayne State University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VHS Physicians of MichiganGroup PAC ID 8921289760, 219 clinicians

Practice addresses (Care Compare)

201 W Big Beaver Rd
Troy, MI 48084-4100

261 Mack Ave
Detroit, MI 48201-2417

33703 Van Dyke Ave
Sterling Heights, MI 48312-5934
Phone (586) 558-2860

3901 Beaubien 1St Floor
Detroit, MI 48201-2119
Phone (313) 745-5227

3901 Beaubien St
Detroit, MI 48201-2119

3990 John R St
Detroit, MI 48201-2018

4100 John R St
Detroit, MI 48201-2013
Phone (800) 527-6266

4201 Saint Antoine St
Detroit, MI 48201-2153

6071 W Outer Dr
Detroit, MI 48235-2624

Hospital & facility affiliations

  • Detroit Receiving Hospital Hospital, Detroit, MI, CCN 230273
  • Harper University Hospital Hospital, Detroit, MI, CCN 230104
  • Karmanos Cancer Center Hospital, Detroit, MI, CCN 230297
  • Rehabilitation Institute of Michigan Inpatient rehabilitation facility, Detroit, MI, CCN 233027

Merit-based Incentive Payment System (MIPS)

Final score
90.26 of 100Reported as group
Quality
64.16
Promoting interoperability
100
Improvement activities
40
Cost
73.79

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Physicians of Michigan CurrentSince Aug 31, 2014 Accepting new patients
VHS of Michigan Past Accepting new patients
VHS Sinai-Grace Hospital Inc Past Accepting new patients
VHS Detroit Receiving Hospital Inc Past Accepting new patients

Locations

311 Mack Ave
Fl 5
Detroit, MI 48201
Phone (313) 832-0500

4201 Saint Antoine St
#6D55
Detroit, MI 48201
Phone (313) 966-8013

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

6071 W Outer Dr
#1
Detroit, MI 48235
Phone (313) 966-1008

6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300

33703 Van Dyke Ave
Sterling Heights, MI 48312
Phone (586) 558-2860

201 W Big Beaver Rd
Ste 1060
Troy, MI 48084
Phone (248) 457-9190

28800 Ryan Rd
Ste 120
Warren, MI 48092
Phone (586) 558-1221

Interoperability endpoints

  • Direct secure messaging: kerellos.nasr.1@9704.direct.athenahealth.com
  • Direct secure messaging: knasr@direct.dmc.org

Organizations & group practices 4

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": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1114236171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST # 6D5.5",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-966-8013",
            "fax_number": "313-993-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST # 6D5.5",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-966-8013",
            "fax_number": "313-993-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASR",
        "first_name": "KERELLOS",
        "middle_name": "ATHANACIOS-NABEH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-24",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301092883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.