NPIMap

Individual provider Active NPI

Adam Nassery, MD

  • Interventional Pain Medicine Physician
  • Aventura, FL
National Provider Identifier
1275952863
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME140811 Issued in FL
Practice address
21097 NE 27TH Court
Suite 320
Aventura, FL 33180
Phone
(305) 974-5533
Fax
(305) 974-5553
NPI assigned
Apr 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X ME140811 FL Primary

Addresses

Primary practice location

21097 NE 27TH Court
Suite 320
Aventura, FL 33180

Mailing address

PO Box 223190
Hollywood, FL 33022-3190
Phone (305) 974-5533

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL AdvancedMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190827000952 FL Practitioner - Pain ManagementPractitioner - Anesthesiology 3274871496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Albert Einstein College of Medicine of Yeshiva University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Christian Gonzalez MD LLCGroup PAC ID 9335389659, 8 clinicians

Practice addresses (Care Compare)

21097 NE 27TH CT
Suite 320
Aventura, FL 33180-1206
Phone (305) 974-5533

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Gonzalez, MD, LLC CurrentSince Aug 1, 2019 Accepting new patients
Neuroscience Consultants LLP Neurology PastSince Aug 1, 2019 Accepting new patients

Locations

21097 NE 27th Ct
Ste 320
Miami, FL 33180
Phone (305) 933-8465

3898 Via Poinciana
Ste 19
Wellington, FL 33467
Phone (516) 619-6521

Interoperability endpoints

  • Direct secure messaging: adventuraspineandwellnesscenter.adamnassery@125092.advancedmd-direct.com

Organizations & group practices 2

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 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1275952863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 223190",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330223190",
            "telephone_number": "305-974-5533",
            "fax_number": "305-974-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21097 NE 27TH COURT",
            "address_2": "SUITE 320",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "33180",
            "telephone_number": "305-974-5533",
            "fax_number": "305-974-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSERY",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-10",
        "last_updated": "2024-06-04",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME140811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "AdvancedMD",
            "affiliation": "N",
            "address_1": "21000 NE 28th Ave",
            "city": "Aventura",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331801421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.