Individual provider Active NPI

Kamal F Nassif, M.D.

  • Ophthalmology Physician
  • Wauwatosa, WI
National Provider Identifier
1801884358
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
23169 Issued in WI
Practice address
10625 W North Ave Ste 200
Wauwatosa, WI 53226-2315
Phone
(414) 258-6880
Fax
(414) 258-5686
NPI assigned
Oct 10, 2005
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 23169 WI Primary

Addresses

Primary practice location

10625 W North Ave Ste 200
Wauwatosa, WI 53226-2315

Mailing address

10625 W North Ave
Ste 200
Wauwatosa, WI 53226-2315
Phone (414) 258-6880

Other practice location 1

2300 N Mayfair Rd
#1155
Wauwatosa, WI 53226-1505
Phone (414) 258-6880

Other identifiers 1

IdentifierTypeStateIssuer
30385200MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL knassif@nassifandassociates.emadirect.md Other DR K F NASSIF & ASSOCIATES SC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20110318000540 WI Practitioner - Ophthalmology 9133295553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr K F Nassif and Associates SCGroup PAC ID 4789750100, 2 clinicians

Practice addresses (Care Compare)

10625 W N Ave
Suite 200
Wauwatosa, WI 53226-2315
Phone (414) 258-6880

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.72 of 100Reported as individual
Quality
98.03
Improvement activities
40
Cost
65.03

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery163
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23169WIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr K F Nassif & Associates SC Ophthalmology CurrentSince Mar 7, 1997 Accepting new patients
Eye Physician Associates, S.C. Ophthalmology PastSince Mar 7, 1997 Accepting new patients

Locations

10625 W North Ave
Ste 200
Wauwatosa, WI 53226
Phone (414) 258-6880

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 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": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1801884358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10625 W NORTH AVE",
            "address_2": "STE 200",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262315",
            "telephone_number": "414-258-6880",
            "fax_number": "414-258-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10625 W NORTH AVE STE 200",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262315",
            "telephone_number": "414-258-6880",
            "fax_number": "414-258-5686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 N Mayfair Rd",
            "address_2": "#1155",
            "address_purpose": "LOCATION",
            "city": "Wauwatosa",
            "state": "WI",
            "postal_code": "532261505",
            "country_code": "US",
            "telephone_number": "414-258-6880",
            "fax_number": "414-258-5686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASSIF",
        "first_name": "KAMAL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2023-11-27",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "23169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30385200",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "knassif@nassifandassociates.emadirect.md",
            "affiliation": "Y",
            "endpointDescription": "Direct Address",
            "affiliationName": "DR K F NASSIF & ASSOCIATES SC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "10625 W North Ave Ste 200",
            "city": "Wauwatosa",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532262315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

Verify at the official NPI Registry.