Active NPI
Summar Nassar, PA
- Physician Assistant
- Lexington, KY
National Provider Identifier
1457051658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA3235
- Practice address
- 1000 S Limestone
Lexington, KY 40536-0298 - Phone
- (859) 323-5901
- Fax
- (859) 323-3040
- NPI assigned
- Mar 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | TC000 | KY | |
| Physician Assistant | 363A00000X | TC397 | KY | |
| Medical Physician Assistant | 363AM0700X | TC397 | KY | |
| Medical Physician Assistant | 363AM0700X | PA3235 | KY | |
| Surgical Physician Assistant | 363AS0400X | TC397 | KY | |
| Surgical Physician Assistant | 363AS0400X | PA3235 | KY | |
| Physician Assistant | 363A00000X | PA3235 | KY | Primary |
Addresses
Primary practice location
1000 S Limestone
Lexington, KY 40536-0298
Mailing address
100 S Limestone
Lexington, KY 40536-0001
Phone (859) 323-5901
Other practice location 1
302 Tyson Ave Ste B
Paris, TN 38242-4555
Phone (877) 423-8435
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230913003132 | KY | Practitioner - Physician Assistant | 1153785829 | Reassigns benefits to 1 organization |
| I20241008000530 | TN | Practitioner - Physician Assistant | 1153785829 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.76 of 100
- Quality
- 78.19
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.17
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TC000 | KY | MD | Physician Assistant |
| TC397 | KY | MD | Physician Assistant |
| PA3235 | KY | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Kentucky | Current | Accepting new patients |
Locations
1000 S Limestone
Lexington, KY 40506
Phone (859) 323-5901
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1457051658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 S LIMESTONE",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360001",
"telephone_number": "859-323-5901",
"fax_number": "859-323-3040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 S LIMESTONE",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360298",
"telephone_number": "859-323-5901",
"fax_number": "859-323-3040"
}
],
"practiceLocations": [
{
"address_1": "302 Tyson Ave Ste B",
"address_purpose": "LOCATION",
"city": "Paris",
"state": "TN",
"postal_code": "382424555",
"country_code": "US",
"telephone_number": "877-423-8435",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NASSAR",
"first_name": "SUMMAR",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-06",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "TC000",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "TC397",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "KY",
"license": "TC397",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "KY",
"license": "PA3235",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "KY",
"license": "TC397",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "KY",
"license": "PA3235",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA3235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.