Organization Active NPI

Dr K F Nassif & Associates SC

  • Ophthalmology Physician
  • Wauwatosa, WI
National Provider Identifier
1881677284
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
DR K F NASSIF & ASSOCIATES SC
Practice address
10625 W North Ave Ste 200
Wauwatosa, WI 53226-2315
Phone
(414) 258-6880
Fax
(414) 258-5686
NPI assigned
Nov 21, 2005
Organization subpart
Yes
Parent organization
YESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Authorized official

Name
Dr. Kamal F Nassif, M.D.NPI 1801884358
Title
Ophthalmologist
Phone
(414) 258-6880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 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
W auwatosa, WI 53226-1553
Phone (414) 258-6880

Other identifiers 1

IdentifierTypeStateIssuer
32789900MedicaidWI

Electronic endpoints 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080909000680 WI Part B Supplier - Clinic/Group Practice 4789750100 Receives reassigned benefits from 2 practitioners
Practice locations: Wauwatosa, WI

National Provider Directory

National Provider Directory
Part of
David a Scheidt

Locations

4811 S 76th St
Ste 205
Greenfield, WI 53220
Phone (414) 281-1066

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

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

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1881677284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": "W auwatosa",
            "state": "WI",
            "postal_code": "532261553",
            "country_code": "US",
            "telephone_number": "414-258-6880",
            "fax_number": "414-258-5686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR K F NASSIF & ASSOCIATES SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YES",
        "enumeration_date": "2005-11-21",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "NASSIF",
        "authorized_official_first_name": "KAMAL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "414-258-6880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32789900",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "knassif@nassifandassociates.emadirect.md",
            "affiliation": "Y",
            "endpointDescription": "Direct Address",
            "affiliationName": "DR K F NASSIF & ASSOC 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

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.