Individual provider Active NPI

Omer Salah Nasir, M.D.

  • Surgery Physician
  • Ridley Park, PA
National Provider Identifier
1760684872
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD448450 Issued in PA
Practice address
204 E Chester Pike
Ridley Park, PA 19078-1730
Phone
(610) 521-4833
Fax
(610) 521-2651
NPI assigned
Jun 1, 2007
Last updated
May 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 22091 MD
Surgery Physician 208600000X MD448450 PA Primary

Addresses

Primary practice location

204 E Chester Pike
Ridley Park, PA 19078-1730

Mailing address

204 E Chester Pike
Ridley Park, PA 19078-1730
Phone (610) 521-4833

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address omer.nasir.1@16196.direct.athenahealth.com Direct Mercy Management of Southeastern Pennsylvania
Direct Messaging Address omer.nasir.2@16196.direct.athenahealth.com Direct Nazareth Physician Services, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20131108001278 PA Practitioner - General Surgery 6103051651 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201

2601 Holme Ave
Philadelphia, PA 19152-2007
Phone (267) 957-7027

2701 Holme Ave
Philadelphia, PA 19152-2029

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22091MDMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health Mid-Atlantic Medical Group Surgery CurrentSince Jan 1, 2024 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Jan 1, 2024 Accepting new patients
Pottstown Clinic Company LLC Surgery CurrentSince Apr 21, 2018 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Surgery Current Accepting new patients
Nazareth Hospital Past Accepting new patients
Nazareth Physician Services, Inc Past Accepting new patients

Locations

1 Medical Center Blvd
#428
Chester, PA 19013
Phone (610) 874-4044

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

1503 Lansdowne Ave
Ste 3001
Darby, PA 19023
Phone (610) 586-4100

1503 Lansdowne Ave
Ste 3003
Darby, PA 19023
Phone (610) 586-4100

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

2601 Holme Ave
Philadelphia, PA 19152
Phone (215) 335-6000

2701 Holme Ave
Ste 100
Philadelphia, PA 19152
Phone (215) 335-3972

2701 Holme Ave
Ste 104
Philadelphia, PA 19152
Phone (215) 331-8897

730 S Hanover St
Pottstown, PA 19465
Phone (610) 323-6835

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

1001 Baltimore Pike
Ste 14LL
Springfield, PA 19064
Phone (610) 237-4104

Interoperability endpoints

  • Direct secure messaging: onasir2015992@direct.trinity-health.org

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 1

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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1760684872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E CHESTER PIKE",
            "city": "RIDLEY PARK",
            "state": "PA",
            "postal_code": "190781730",
            "telephone_number": "610-521-4833",
            "fax_number": "610-521-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E CHESTER PIKE",
            "city": "RIDLEY PARK",
            "state": "PA",
            "postal_code": "190781730",
            "telephone_number": "610-521-4833",
            "fax_number": "610-521-2651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASIR",
        "first_name": "OMER",
        "middle_name": "SALAH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "22091",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD448450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "omer.nasir.1@16196.direct.athenahealth.com",
            "affiliation": "Y",
            "endpointDescription": "Mercy Management of Southeastern Pennsylvania Direct Email Address",
            "affiliationName": "Mercy Management of Southeastern Pennsylvania",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1501 Lansdowne Ave Ste 307",
            "city": "Darby",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190231333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "omer.nasir.2@16196.direct.athenahealth.com",
            "affiliation": "Y",
            "endpointDescription": "Nazareth Physician Service Direct Email Address",
            "affiliationName": "Nazareth Physician Services, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2701 Holme Ave Ste 104",
            "city": "Phila",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191522029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ridley Park, PA

Sources for this page

Verify at the official NPI Registry.