Individual provider Active NPI

Audey Nasser, DPM

  • Foot & Ankle Surgery Podiatrist
  • Gurnee, IL
National Provider Identifier
1558703298
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016005811 Issued in IL
Practice address
731 S Il Route 21 Ste 140
Gurnee, IL 60031-3812
Phone
(847) 295-9300
Fax
(847) 295-9607
NPI assigned
Jul 23, 2013
Last updated
Jan 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 5901002505 MI
Primary Podiatric Medicine Podiatrist 213EP1101X 016005811 IL
Foot & Ankle Surgery Podiatrist 213ES0103X 5901002505 MI
Foot & Ankle Surgery Podiatrist 213ES0103X 016005811 IL Primary

Addresses

Primary practice location

731 S Il Route 21 Ste 140
Gurnee, IL 60031-3812

Mailing address

731 S Il Route 21 Ste 140
Gurnee, IL 60031-3812
Phone (847) 295-9300

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address drnasser@universityfootassociates.com Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ Direct
Direct Messaging Address anasser295458@direct.myadvocateaurora.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201014001342 IL Practitioner - Podiatry 3971813445 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Audey Nasser Podiatry PCGroup PAC ID 8325468523, 2 clinicians

Practice addresses (Care Compare)

731 S Il Route 21
Suite 140
Gurnee, IL 60031-3812
Phone (847) 295-9300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.58 of 100Reported as individual
Quality
58.15
Promoting interoperability
86
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue873
Removal of skin lesions837
Removal of nail tissue775
Removal or shaving of skin growth121
Skin biopsy43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016005811ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Audey Nasser Podiatry, PC Primary Podiatric Medicine CurrentSince Jul 13, 2020 Accepting new patients
Perspective Behavioral and Pain Solutions LTD CurrentSince Aug 1, 2022 Accepting new patients
Robert a. Yagoobian, D.P.M., P.C. PastSince Jul 1, 2018 Accepting new patients

Locations

2720 S River Rd
Ste 246
Des Plaines, IL 60018
Phone (847) 306-7277

1475 E Belvidere Rd
Ste 202
Grayslake, IL 60030
Phone (313) 969-9775

731 S Il Route 21
Ste 140
Gurnee, IL 60031
Phone (847) 295-9300

Interoperability endpoints

  • Direct secure messaging: anasser295458@direct.myadvocateaurora.org
  • Direct secure messaging: anasser420860@direct.hfhs.org
  • Direct secure messaging: drnasser@universityfootassociates.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1558703298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 S IL ROUTE 21 STE 140",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313812",
            "telephone_number": "847-295-9300",
            "fax_number": "847-295-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 S IL ROUTE 21 STE 140",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313812",
            "telephone_number": "847-295-9300",
            "fax_number": "847-295-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSER",
        "first_name": "AUDEY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-23",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MI",
            "license": "5901002505",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "IL",
            "license": "016005811",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002505",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drnasser@universityfootassociates.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "731 S Il Route 21 Ste 140",
            "city": "Gurnee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600313812",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "731 S Il Route 21 Ste 140",
            "city": "Gurnee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600313812",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anasser295458@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "731 S Il Route 21 Ste 140",
            "city": "Gurnee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600313812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

Verify at the official NPI Registry.