Individual provider Active NPI

Nasser Lakkis, MD

  • Interventional Cardiology Physician
  • Mobile, AL
National Provider Identifier
1851471122
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD.47314 Issued in AL
Practice address
3290 Dauphin St Ste 301
Mobile, AL 36606-4052
Phone
(251) 873-6280
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X J5171 TX
Interventional Cardiology Physician 207RI0011X 4301505555 MI
Interventional Cardiology Physician 207RI0011X MD.47314 AL Primary

Addresses

Primary practice location

3290 Dauphin St Ste 301
Mobile, AL 36606-4052

Mailing address

PO Box 746450
Atlanta, GA 30374-6450
Phone (866) 401-3057

Other identifiers 1

IdentifierTypeStateIssuer
116953401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MI, AL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20110208000635 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7113107186 Reassigns benefits to 2 organizations
I20211117001895 MI Practitioner - Interventional Cardiology 7113107186 Reassigns benefits to 1 organization
I20231213000912 AL Practitioner - Interventional Cardiology 7113107186 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1700 Ctr St
Mobile, AL 36604-3301
Phone (251) 415-1000

2451 University Hospital Dr
Mobile, AL 36617-2300
Phone (251) 471-7000

75 S University Blvd
Unit 6000
Mobile, AL 36608-3274
Phone (251) 660-5555

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting11
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.47314ALMDInterventional Cardiology Physician
4301505555MIMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
USA Health Community Providers LLC CurrentSince Jul 1, 2024 Accepting new patients
Baylor College of Medicine CurrentSince Jul 1, 2011 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Nov 4, 2023 Accepting new patients
Baylor College of Medicine CurrentSince Jan 1, 2014 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Nov 4, 2023 Accepting new patients
University Physician Group CurrentSince Sep 14, 2021 Accepting new patients
Baylor College of Medicine CurrentSince Jul 1, 2011 Accepting new patients
Baylor College of Medicine CurrentSince Jan 1, 2014 Accepting new patients
Baylor College of Medicine Past Accepting new patients
Baylor College of Medicine Past Accepting new patients
Baylor College of Medicine Past Accepting new patients

Locations

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

3290 Dauphin St
Ste 301
Mobile, AL 36606
Phone (251) 660-5930

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

4201 Saint Antoine St
#5A
Detroit, MI 48201

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

6550 Fannin St
#1018
Houston, TX 77030
Phone (713) 793-8902

6620 Main St
Houston, TX 77030
Phone (713) 520-8432

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

Interoperability endpoints

  • Direct secure messaging: nasser.lakkis.2@16253.direct.athenahealth.com

Organizations & group practices 11

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.

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1851471122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746450",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746450",
            "telephone_number": "866-401-3057",
            "fax_number": "318-868-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 DAUPHIN ST STE 301",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064052",
            "telephone_number": "251-873-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKKIS",
        "first_name": "NASSER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "J5171",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "4301505555",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AL",
            "license": "MD.47314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116953401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.