Active NPI
Peter Anton Nassar, MD
- Pulmonary Disease Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME94669
- Practice address
- 6930 Bonneval Rd
Suite #2
Jacksonville, FL 32216-6012 - Phone
- (904) 854-6899
- Fax
- (904) 338-0533
- NPI assigned
- Nov 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ME94669 | FL | Primary |
Addresses
Primary practice location
6930 Bonneval Rd
Suite #2
Jacksonville, FL 32216-6012
Mailing address
PO Box 43667
Jacksonville, FL 32203-3667
Phone (904) 398-3760
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 274620400 | Medicaid | FL | |
| 593385828 | Other | FL | UNITED HEALTHCARE |
| 29986 | Other | FL | AV MED |
| 7329770 | Other | FL | AETNA |
| 31047 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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
- Pulmonary Disease
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6930 Bonneval Rd
Suite 2
Jacksonville, FL 32216-6084
Phone (904) 854-6899
Hospital & facility affiliations
- Baptist Medical Center Beaches
- Baptist Health Medical Center - Jacksonville
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.44 of 100
- Quality
- 84.21
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Cardiology, Inc. | Current | Accepting new patients | |
| Provident Emergency Medicine Associates, PC | Past | Accepting new patients |
Locations
6930 Bonneval Rd
Ste 2
Jacksonville, FL 32216
Phone (904) 854-6899
1905 Corporate Square Blvd
Jacksonville, FL 32216
Phone (904) 720-0599
836 Prudential Dr
Ste 700
Jacksonville, FL 32207
Phone (904) 398-0138
836 Prudential Dr
Ste 1700
Jacksonville, FL 32207
Phone (904) 398-0125
Interoperability endpoints
- pnassar18214@baptisthealthsystemjacksonville.direct-ci.com
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Jacksonville, FL
- NPI 1760751598
-
- Emergency Medicine Physician
- Schenectady, NY
- NPI 1750310645
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jacksonville Beach, FL
- NPI 1821155912
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447718400000",
"number": "1629157243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 43667",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322033667",
"telephone_number": "904-398-3760",
"fax_number": "904-338-0533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6930 BONNEVAL RD",
"address_2": "SUITE #2",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322166012",
"telephone_number": "904-854-6899",
"fax_number": "904-338-0533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASSAR",
"first_name": "PETER",
"middle_name": "ANTON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2015-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME94669",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "274620400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "593385828",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AV MED",
"identifier": "29986",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7329770",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "31047",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.