Active NPI
Elias N Nasr, MD
- Surgery Physician
- Sierra Vista, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 36124
- Practice address
- 155 Calle Portal
Suite 400
Sierra Vista, AZ 85635-2900 - Phone
- (520) 458-0229
- Fax
- (520) 458-1038
- NPI assigned
- Nov 21, 2006
- Last updated
- Oct 1, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 36124 | AZ | Primary |
| Surgical Oncology Physician | 2086X0206X | 36124 | AZ |
Addresses
Primary practice location
155 Calle Portal
Suite 400
Sierra Vista, AZ 85635-2900
Mailing address
302 El Camino Real
Ste 5
Sierra Vista, AZ 85635-2860
Phone (520) 458-4335
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 159997 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Family Medicine | Current | Accepting new patients |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Sierra Vista Regional Health Center Medical Group LLC | Family Medicine | Past | Accepting new patients |
| Advanced Surgical Associates PA | Surgery | Past | Accepting new patients |
| MD Med Inc | Past | Accepting new patients | |
| Regional Care Physicians Grooup | Family Medicine | Past | Accepting new patients |
Locations
201 Cedar St SE
Ste 306
Albuquerque, NM 87106
Phone (505) 247-3635
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
Interoperability endpoints
- enasr46125@direct.phs.org
Organizations & group practices 6
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.
-
dba Presbyterian Medical Group
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
Family Medicine
-
dba Presbyterian Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
dba Sierra Vista Cancer Center
- Multi-Specialty Clinic/Center
- Sierra Vista, AZ
- NPI 1700964038
-
- Family Medicine Physician
- Casa Grande, AZ
- NPI 1720236912
-
- Family Medicine Physician
- Sierra Vista, AZ
- NPI 1043575483
-
- Vascular Surgery Physician
- Sebastian, FL
- NPI 1073793063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285891200000",
"number": "1912072604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 EL CAMINO REAL",
"address_2": "STE 5",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856352860",
"telephone_number": "520-458-4335",
"fax_number": "520-452-2232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 CALLE PORTAL",
"address_2": "SUITE 400",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856352900",
"telephone_number": "520-458-0229",
"fax_number": "520-458-1038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASR",
"first_name": "ELIAS",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2010-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "36124",
"primary": true
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "AZ",
"license": "36124",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "159997",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sierra Vista, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.