Individual provider Active NPI

Fadi F Nasr, MD

  • Neurological Surgery Physician
  • Oklahoma City, OK
National Provider Identifier
1609918416
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
22413 Issued in OK
Practice address
4120 W Memorial Rd
Suite 300
Oklahoma City, OK 73120-9320
Phone
(405) 748-3300
Fax
(405) 749-1671
NPI assigned
Feb 12, 2007
Last updated
Oct 11, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 22413 OK Primary

Addresses

Primary practice location

4120 W Memorial Rd
Suite 300
Oklahoma City, OK 73120-9320

Mailing address

4120 W Memorial Rd
Suite 300
Oklahoma City, OK 73120-9320
Phone (405) 748-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20080819000381 OK Practitioner - Neurosurgery 0345315883 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spine Surgery Associates PLLCGroup PAC ID 3870994957, 4 clinicians

Practice addresses (Care Compare)

14100 Pkwy Commons Dr
Suite 200
Oklahoma City, OK 73134-6104
Phone (405) 242-4345

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.46 of 100Reported as individual
Quality
62.88
Improvement activities
40
Cost
71.03

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion533
Laminectomy or laminotomy (partial removal of spine bones)84

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spine Surgery Associates PLLC Neurological Surgery CurrentSince Aug 1, 2021 Accepting new patients
Neuroscience Specialists PC Neurological Surgery CurrentSince Jul 7, 2008 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

14100 Parkway Commons Dr
Ste 100
Oklahoma City, OK 73134
Phone (405) 242-4720

14100 Parkway Commons Dr
Ste 200
Oklahoma City, OK 73134
Phone (405) 242-4345

4120 W Memorial Rd
Ste 300
Oklahoma City, OK 73120
Phone (405) 748-3300

Interoperability endpoints

  • Direct secure messaging: fadi.nasr.2@14870.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Oklahoma Spine Hospital, L.L.C.Oklahoma City, OK, CCN 370206 Hospital 5% Or Greater Indirect Ownership Interest (4.16%)
Operational/Managerial Control (4.16%)
Dec 31, 2024
Dec 31, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1609918416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 W MEMORIAL RD",
            "address_2": "SUITE 300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731209320",
            "telephone_number": "405-748-3300",
            "fax_number": "405-749-1671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 W MEMORIAL RD",
            "address_2": "SUITE 300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731209320",
            "telephone_number": "405-748-3300",
            "fax_number": "405-749-1671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASR",
        "first_name": "FADI",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OK",
            "license": "22413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.