Individual provider Active NPI

Jacob Nasser, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Whitesburg, KY
National Provider Identifier
1568084507
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
291460 Issued in KY
Practice address
226 Medical Plaza LN
Whitesburg, KY 41858-7425
Phone
(606) 633-4871
Fax
(606) 633-4300
NPI assigned
May 13, 2020
Last updated
Aug 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 291460 KY Primary

Addresses

Primary practice location

226 Medical Plaza LN
Whitesburg, KY 41858-7425

Mailing address

PO Box 40
Whitesburg, KY 41858-0040
Phone (606) 633-4823

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241015001871 KY Practitioner - Podiatry 2466984513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

226 Medical Plaza LN
Whitesburg, KY 41858-7425
Phone (606) 633-4871

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue12
Removal of skin lesions1-10
Removal of nail tissue19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Comprehensive Health Corporation Current Accepting new patients
Mountain Comprehensive Health Corporation Current Accepting new patients
Mountain Comprehensive Health Corporation CurrentSince Aug 26, 2024 Accepting new patients
Mountain Comprehensive Health Corporation Current Accepting new patients
Mountain Comprehensive Health Corporation Current Accepting new patients
Mountain Comprehensive Health Corporation Current Accepting new patients
Mountain Comprehensive Health Corporation CurrentSince Aug 26, 2024 Accepting new patients
Mountain Comprehensive Health Corporation PastSince Aug 1, 2019 Accepting new patients
Mountain Comprehensive Health Corporation Past Accepting new patients
Mountain Comprehensive Health Corporation Past Accepting new patients

Locations

826 Ky 11 N
Booneville, KY 41314
Phone (606) 593-6395

464 KY Highway 699
Cornettsville, KY 41731
Phone (606) 476-2450

132 Village Center Rd
Harlan, KY 40831
Phone (606) 573-2004

396 Highway 899
Hindman, KY 41822
Phone (606) 785-9440

226 Medical Plaza Ln
Whitesburg, KY 41858
Phone (606) 633-4871

11313 Highland Ave
Pound, VA 24279
Phone (276) 796-4411

Interoperability endpoints

  • Direct secure messaging: jacob.nasser.p1@direct.mtncomp.nextgenshare.com

Organizations & group practices 10

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": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1568084507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "418580040",
            "telephone_number": "606-633-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 MEDICAL PLAZA LN",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "418587425",
            "telephone_number": "606-633-4871",
            "fax_number": "606-633-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSER",
        "first_name": "JACOB",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-13",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KY",
            "license": "291460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitesburg, KY

Sources for this page

Verify at the official NPI Registry.