Individual provider Active NPI

Farid A Nasser, M.D., RPH.

  • Dermatology Physician
  • Dearborn, MI
National Provider Identifier
1740497700
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
4301085945 Issued in MI
Practice address
25101 Ford Rd
Dearborn, MI 48128-1058
Phone
(313) 359-7900
Fax
(313) 359-7800
NPI assigned
May 17, 2007
Last updated
Feb 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 4302030952 MI
Dermatology Physician 207N00000X 4301085945 MI Primary

Addresses

Primary practice location

25101 Ford Rd
Dearborn, MI 48128-1058

Mailing address

25101 Ford Rd
Dearborn, MI 48128-1058
Phone (313) 359-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20080620000162 MI Practitioner - Dermatology 6507937497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Wayne State University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nasser Dermatology PLLCGroup PAC ID 8921179821, 2 clinicians

Practice addresses (Care Compare)

25101 Ford Rd
Dearborn, MI 48128-1058
Phone (313) 359-7900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions416
Skin biopsy68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4302030952MIMDPharmacist
4301085945MIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nasser Dermatology, PLLC Dermatology CurrentSince Jun 20, 2008 Accepting new patients
Skin Care Physicians PC PastSince Jul 1, 2008 Accepting new patients

Locations

25101 Ford Rd
Dearborn, MI 48128
Phone (313) 359-7900

2026 N Beech Daly Rd
Dearborn Heights, MI 48127
Phone (313) 359-7900

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

Hospital & facility affiliations 2

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1740497700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25101 FORD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281058",
            "telephone_number": "313-359-7900",
            "fax_number": "313-359-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25101 FORD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281058",
            "telephone_number": "313-359-7900",
            "fax_number": "313-359-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSER",
        "first_name": "FARID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D., RPH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2022-02-11",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "4302030952",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301085945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.