NPIMap

Individual provider Active NPI

Jawed Nasim, M.D.

  • Infectious Disease Physician
  • Louisville, KY
National Provider Identifier
1871576702
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
35287 Issued in KY
Practice address
4001 Dutchmans LN
Louisville, KY 40207-4714
Phone
(502) 380-5505
Fax
(502) 426-8272
NPI assigned
Nov 23, 2005
Last updated
Jan 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 35287 KY Primary

Addresses

Primary practice location

4001 Dutchmans LN
Louisville, KY 40207-4714

Mailing address

PO Box 890853
Charlotte, NC 28289-0853
Phone (800) 605-5176

Other identifiers 2

IdentifierTypeStateIssuer
200871860MedicaidIN
64352875MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031209000414 KY Practitioner - Internal MedicinePractitioner - Infectious Disease 9436055795 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3950 Kresge Way
Suite 302
Louisville, KY 40207-4637
Phone (502) 785-3084

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
33.35 of 100Reported as individual
Quality
30
Improvement activities
0
Cost
54.5

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medicine PLLC Infectious Disease CurrentSince Dec 1, 2007 Accepting new patients
Associates in Infectious Diseases, PSC Infectious Disease Past Accepting new patients
Commonwealth Infectious Disease PSC Infectious Disease Past Accepting new patients
Health Centers Detroit Foundation, Inc. Past Accepting new patients
Kentucky Inpatient Medicine Associates, PLLC Past Accepting new patients
Southfork Medical Clinic PLLC PastSince Oct 8, 2023 Accepting new patients

Locations

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

3950 Kresge Way
Ste 302
Louisville, KY 40207
Phone (502) 785-3084

3910 S DuPont Sq
#A
Louisville, KY 40207
Phone (502) 814-3182

4000 Kresge Way
St Matthews, KY 40207
Phone (502) 459-7902

Organizations & group practices 7

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 39

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 39

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1871576702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890853",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282890853",
            "telephone_number": "800-605-5176",
            "fax_number": "937-298-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 DUTCHMANS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074714",
            "telephone_number": "502-380-5505",
            "fax_number": "502-426-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASIM",
        "first_name": "JAWED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "KY",
            "license": "35287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200871860",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64352875",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.