Mohammad Asim Nisar, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME111621 Issued in FL

Practice address

308 NW 5TH St
Okeechobee, FL 34972-2565

Phone

(863) 261-8354

Fax

(786) 221-4107

NPI assigned

Jun 15, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Psychiatry

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Compass Health Systems PAGroup PAC ID 6204733413, 59 clinicians

Health Haven LLCGroup PAC ID 7911212634, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida JFK Hospital Hospital, Atlantis, FL, CCN 100080
• St Mary'S Medical Center Hospital, West Palm Beach, FL, CCN 100288

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Health Haven LLC

  • Community/Behavioral Health Agency
  • Okeechobee, FL
  • NPI 1265824858
  Medicare reassignment Care Compare group Authorized official
• Compass Health Systems, P.a.

  • Psychiatry Physician
  • North Miami, FL
  • NPI 1619965795
  Medicare reassignment Care Compare group NPD
• 901 45TH Street West Palm Beach Florida Behavioral Health Hospital LLC

  • Psychiatric Hospital
  • Mangonia Park, FL
  • NPI 1396312021
  Medicare reassignment NPD
• Boynton Beach Florida Behavioral Health Hospital Company, LLC

  • Psychiatric Hospital
  • Boynton Beach, FL
  • NPI 1023774932
  Medicare reassignment NPD
• Camillus Health Concern Inc

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1861402869
  Medicare reassignment NPD
• Camillus Health Concern, Inc.

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1659536365
  NPD
• Compass Health Systems, P.a.

  • Psychiatry Physician
  • Orlando, FL
  • NPI 1194392498
  NPD
• QMC LLC

  • Hospitalist Physician
  • Miami, FL
  • NPI 1003216391
  NPD (past)

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

• JFK Medical Center Limited Partnership

  • General Acute Care Hospital
  • Atlantis, FL
  • NPI 1326085424
  Care Compare affiliation
• St. Mary'S Medical Center, Inc

  • General Acute Care Hospital
  • West Palm Beach, FL
  • NPI 1952333205
  Care Compare affiliation

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1437444791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 SW 28TH ST VILLA 53",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "34974",
            "telephone_number": "516-640-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 NW 5TH ST",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349722565",
            "telephone_number": "863-261-8354",
            "fax_number": "786-221-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISAR",
        "first_name": "MOHAMMAD ASIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-15",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME111621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New American Physical Therapy Inc
• New Avenue Counseling
• New Horizons of the Treasure Coast, Inc
• Danny Nguyen
• Graciela Miriam Nieto, PHARM.D., R.PH.
• Karen Elizabeth Norwood, ARNP
• Okeechobee Assisted Living LLC
• Okeechobee County School Board
• Okeechobee County School Board
• Okeechobee County School Board

• Psychiatry Physician in Okeechobee, FL
• Providers in Okeechobee, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.