Nassib F Abou Heidar, MD
Individual provider Active NPI Urology Physician · Charlottesville, VA
NPI 1457083743 · NPPES record last updated Aug 19, 2024
Key facts
- NPI
- 1457083743
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- 0101283602 (VA)
- Practice address
- 1215 Lee St
Charlottesville, VA 22908-1104 - Phone
- (434) 924-3627
- NPI assigned
- Jun 27, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Urology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- University of Virginia Physicians Group
Practice addresses (Care Compare)
1215 Lee St
Charlottesville, VA 22908-2325
Phone (434) 924-8129
Hospital & facility affiliations
- University of Virginia Medical Center
- Sentara Martha Jefferson Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240924000625 | VA | Practitioner - Urology | 5395286918 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P114715 | NY | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Virginia Physicians Group | Current |
Accepting new patients |
Locations
1240 Lee St
Charlottesville, VA 22908
500 Ray C Hunt Dr
Charlottesvle, VA 22903
Phone (434) 924-2224
1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211
1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500
Interoperability endpoints
- nabouheidar640443@direct.healthsystem.virginia.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | P114715 | NY | |
| Urology Physician | 208800000X | 0101283602 | VA | Yes |
Addresses
Primary practice location
1215 Lee St
Charlottesville, VA 22908-1104
Mailing address
PO Box 749112
Atlanta, GA 30374-9112
Phone (434) 295-1000
Other practice location 1
665 Elm St
Buffalo, NY 14203-1104
Phone (716) 845-2300
Other providers in Charlottesville, VA
- Timour Tahirovich Abduhalikov
- David C. Abdullah
- Mark F. Abel
- Haven R Abernathy
- Evelyn Abena Oppongwaa Aboagye
- Farid Abou-Issa
- Alaa Abouelnasr
- Abdelrahman Aboulatta
- Pushpa Sibi Abraham
- Annika Marie Abrahamson
All providers in Charlottesville, VA · Urology Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.