NPIMap

Individual provider Active NPI

Nadeen Kassir, MD

  • Family Medicine Physician
  • Mount Orab, OH
National Provider Identifier
1295306330
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.151182 Issued in OH
Practice address
621 W Main St
Mount Orab, OH 45154-8265
Phone
(937) 444-0952
Fax
(937) 444-0953
NPI assigned
Jul 9, 2021
Last updated
Jul 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X 35.151182 OH Primary

Addresses

Primary practice location

621 W Main St
Mount Orab, OH 45154-8265

Mailing address

621 W Main St
Mount Orab, OH 45154-8265
Phone (937) 444-0952

Other practice location 1

2600 Sixth St SW
Canton, OH 44710-1702
Phone (330) 363-6211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240919002991 OH Practitioner - Family Practice 2163829680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Physicians Cincinnati LLCGroup PAC ID 6709790892, 191 clinicians

Practice addresses (Care Compare)

621 W Main St
Mount Orab, OH 45154-8265
Phone (513) 233-6500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.151182OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati, LLC Family Medicine CurrentSince Sep 8, 2024 Accepting new patients
Mercy Health Physicians Cincinnati LLC CurrentSince Sep 8, 2024 Accepting new patients

Locations

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

621 W Main St
Mount Orab, OH 45154
Phone (937) 444-0952

Interoperability endpoints

  • Direct secure messaging: nkassir2683015@direct.bsmhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1295306330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 W MAIN ST",
            "city": "MOUNT ORAB",
            "state": "OH",
            "postal_code": "451548265",
            "telephone_number": "937-444-0952",
            "fax_number": "937-444-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 W MAIN ST",
            "city": "MOUNT ORAB",
            "state": "OH",
            "postal_code": "451548265",
            "telephone_number": "937-444-0952",
            "fax_number": "937-444-0953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Sixth St SW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447101702",
            "country_code": "US",
            "telephone_number": "330-363-6211",
            "fax_number": "330-453-4263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASSIR",
        "first_name": "NADEEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-09",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.151182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Orab, OH

Sources for this page

Verify at the official NPI Registry.