Active NPI
Yasser A Nadim, M.D.
- Orthopaedic Surgery Physician
- Somerset, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 34018
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000174415 | Other | KY | BC/BS |
| 64340185 | Medicaid | KY |
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
Enrollment records 1
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, LLC
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
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34018 | KY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Cumberland Physician Practices, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Lake Cumberland Physician Practices LLC | Current | Accepting new patients | |
| Southeast Kentucky Clinic | Specialist | Past | 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
- https://97465a19-0dc7-4ef3-9aea-f72e472d3305.gastro.prod.fhir.ema-api.com/fhir/r4/
- 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.
-
- Orthopaedic Surgery Physician
- Somerset, KY
- NPI 1811356892
-
- Specialist
- Somerset, KY
- NPI 1982703617
-
- Gastroenterology Physician
- Somerset, KY
- NPI 1174091383
-
- Ambulatory Surgical Clinic/Center
- Somerset, KY
- NPI 1720143779
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Somerset, KY
- NPI 1619038247
-
- Home Health Agency
- Somerset, KY
- NPI 1114951993
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.