NPIMap

Individual provider Active NPI

Mohammad Said Nassri, MD

  • Nephrology Physician
  • Orangeburg, SC
National Provider Identifier
1275564965
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
09697 Issued in SC
Practice address
3031 Saint Matthews Rd
Orangeburg, SC 29118-1443
Phone
(803) 531-2677
Fax
(803) 531-6137
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 9697 SC
Nephrology Physician 207RN0300X 09697 SC Primary

Addresses

Primary practice location

3031 Saint Matthews Rd
Orangeburg, SC 29118-1443

Mailing address

3031 Saint Matthews Rd
Orangeburg, SC 29118-1443
Phone (803) 531-2677

Other identifiers 1

IdentifierTypeStateIssuer
096979MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100730000865 SC Practitioner - Nephrology 0143288233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmetto Nephrology PAGroup PAC ID 9335107424, 5 clinicians

Practice addresses (Care Compare)

3031 Saint Matthews Rd
Orangeburg, SC 29118-1443
Phone (803) 531-2677

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.14 of 100Reported as group
Quality
96.19
Promoting interoperability
100
Improvement activities
40
Cost
77.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9697SCMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Nephrology PA Specialist CurrentSince Jul 8, 2002 Accepting new patients
Internal Medicine & Infectious Diseases Specialists Specialist PastSince Jun 4, 2008 Accepting new patients
Dva Healthcare Renal Care Inc PastSince Aug 8, 2021 Accepting new patients

Locations

1175 Cook Rd
Ste 115
Orangeburg, SC 29118
Phone (803) 531-2677

3031 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 531-2677

Interoperability endpoints

  • Direct secure messaging: ms.nassri.1@11847.direct.athenahealth.com

Organizations & group practices 3

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 9

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1275564965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 SAINT MATTHEWS RD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291181443",
            "telephone_number": "803-531-2677",
            "fax_number": "803-531-6137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 SAINT MATTHEWS RD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291181443",
            "telephone_number": "803-531-2677",
            "fax_number": "803-531-6137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSRI",
        "first_name": "MOHAMMAD",
        "middle_name": "SAID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "9697",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "SC",
            "license": "09697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096979",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, SC

Sources for this page

Verify at the official NPI Registry.