Individual provider Active NPI

Yasser A Nadim, M.D.

  • Orthopaedic Surgery Physician
  • Somerset, KY
National Provider Identifier
1477505634
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
34018 Issued in KY
Practice address
118 Tradepark Dr
Ste B
Somerset, KY 42503-3427
Phone
(606) 679-7464
Fax
(606) 678-8586
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 34018 KY Primary
Specialist 174400000X 34018 KY

Addresses

Primary practice location

118 Tradepark Dr
Ste B
Somerset, KY 42503-3427

Mailing address

118 Tradepark Dr
St B
Somerset, KY 42503-3427
Phone (606) 679-7464

Other identifiers 2

IdentifierTypeStateIssuer
000000174415OtherKYBC/BS
64340185MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20040920001095 KY Practitioner - Orthopedic Surgery 7315832581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Champion Physical Therapy Kentucky, LLCGroup PAC ID 3476818519, shared by 3 NPIs, 43 clinicians

Practice addresses (Care Compare)

2835 S Hwy 27
Suite 286B
Somerset, KY 42501-3062
Phone (606) 302-2831

353 Bogle St
Suite C
Somerset, KY 42503-2865
Phone (606) 678-2663

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34018KYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Cumberland Physician Practices, LLC Orthopaedic Surgery CurrentSince Apr 1, 2016 Accepting new patients
Lake Cumberland Physician Practices LLC CurrentSince Apr 1, 2016 Accepting new patients
Southeast Kentucky Clinic Specialist PastSince Jul 1, 2001 Accepting new patients
Lake Cumberland Surgery Center LP Past Accepting new patients

Locations

37 Ball Park Rd
Harlan, KY 40831
Phone (606) 263-3900

27 Imaging Dr
Ste B
Somerset, KY 42503
Phone (606) 451-9748

353 Bogle St
Ste C
Somerset, KY 42503
Phone (606) 678-2220

163 Tower Cir
Somerset, KY 42503
Phone (606) 676-0786

26 Oxford Way
Ste B
Somerset, KY 42503
Phone (606) 425-4298

30 Tower Cir
Somerset, KY 42503
Phone (606) 451-8644

Interoperability endpoints

  • FHIR API: https://97465a19-0dc7-4ef3-9aea-f72e472d3305.gastro.prod.fhir.ema-api.com/fhir/r4/
  • Direct secure messaging: yasser.nadim.1@21269.direct.athenahealth.com

Organizations & group practices 4

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 2

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425254400000",
    "number": "1477505634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 TRADEPARK DR",
            "address_2": "ST B",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033427",
            "telephone_number": "606-679-7464",
            "fax_number": "606-678-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 TRADEPARK DR",
            "address_2": "STE B",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033427",
            "telephone_number": "606-679-7464",
            "fax_number": "606-678-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADIM",
        "first_name": "YASSER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2015-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "34018",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "34018",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000000174415",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64340185",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.