Individual provider Active NPI

Wasim Nasir, MD

  • Dermatology Physician
  • Flint, MI
National Provider Identifier
1205222171
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
4301108257 Issued in MI
Practice address
5097 Miller Rd Ste 1
Flint, MI 48507-1043
Phone
(833) 322-3376
Fax
(248) 607-6777
NPI assigned
Apr 8, 2015
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 4301108257 MI Primary
Dermatology Physician 207N00000X ME136777 FL

Addresses

Primary practice location

5097 Miller Rd Ste 1
Flint, MI 48507-1043

Mailing address

5097 Miller Rd Ste 1
Flint, MI 48507-1043
Phone (833) 322-3376

Other identifiers 1

IdentifierTypeStateIssuer
1205222171MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MI2 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
I20190118002168 FL Practitioner - Internal Medicine 2062722192 Reassigns benefits to 1 organization
I20210519002779 MI Practitioner - Dermatology 2062722192 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Wayne State University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dermatology and Cosmetic Center PLLCGroup PAC ID 0244600807, 9 clinicians

Practice addresses (Care Compare)

4444 W Bristol Rd
Suite 150
Flint, MI 48507-3161
Phone (833) 322-3376

5097 Miller Rd
Suite 1
Flint, MI 48507-1043
Phone (833) 322-3376

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision26
Removal of skin lesions1391
Removal of skin cancer177
Removal of nail tissue1-10
Skin biopsy430

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301108257MIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc CurrentSince Aug 24, 2018 Accepting new patients
Dermatology & Cosmetic Center of Bloomfield Hills PLLC Dermatology CurrentSince Jan 4, 2026 Accepting new patients
MD Now Medical Centers Inc CurrentSince Aug 24, 2018 Accepting new patients
Dermatology & Cosmetic Center of Owosso PLLC Dermatology Current Accepting new patients
Dermatology & Cosmetic Center PLLC Dermatology CurrentSince Dec 21, 2022 Accepting new patients
Warrenfield Medical Center, P.C. CurrentSince Feb 1, 2022 Accepting new patients

Locations

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

4001 SW 72nd Ave
Miami, FL 33155
Phone (305) 663-5770

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

2007 Palm Beach Lakes Blvd
West Palm Beach, FL 33409

39533 Woodward Ave
#155
Bloomfield Hills, MI 48304
Phone (833) 322-3376

39533 Woodward Ave
Ste 155
Bloomfield Hills, MI 48304
Phone (833) 322-3376

14716 W Warren Ave
Dearborn, MI 48126
Phone (313) 581-9090

2222 S Linden Rd
Ste G
Flint, MI 48532
Phone (248) 721-9545

4444 W Bristol Rd
Ste 150
Flint, MI 48507
Phone (810) 230-9500

5097 Miller Rd
#1
Flint, MI 48507
Phone (810) 422-5145

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00340

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1205222171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5097 MILLER RD STE 1",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071043",
            "telephone_number": "833-322-3376",
            "fax_number": "248-607-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5097 MILLER RD STE 1",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071043",
            "telephone_number": "833-322-3376",
            "fax_number": "248-607-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASIR",
        "first_name": "WASIM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-08",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301108257",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME136777",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205222171",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.