Individual provider Active NPI

John A Nassar, MD

  • Orthopaedic Foot and Ankle Surgery Physician
  • Scottsdale, AZ
National Provider Identifier
1932189057
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
28964 Issued in AZ
Practice address
8205 N. Via de Negocio Dr.
Scottsdale, AZ 85258-2312
Phone
(480) 451-3668
Fax
(480) 451-3669
NPI assigned
Jan 17, 2006
Last updated
Dec 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 28964 AZ Primary

Addresses

Primary practice location

8205 N. Via de Negocio Dr.
Scottsdale, AZ 85258-2312

Mailing address

9393 N 90TH St
Suite 102-126
Scottsdale, AZ 85258-5040
Phone (480) 451-3668

Other identifiers 1

IdentifierTypeStateIssuer
636516MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20060926000046 AZ Practitioner - Orthopedic Surgery 8921003997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Texas Tech University Health Science Center School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

9700 N 91St St
Suite B108
Scottsdale, AZ 85258-5036
Phone (480) 962-0071

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28964AZMDOrthopaedic Foot and Ankle Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Ambulatory Orthopaedic Surgery CurrentSince May 20, 2024 Accepting new patients
Honorhealth Ambulatory CurrentSince May 20, 2024 Accepting new patients
Honorhealth Ambulatory Orthopaedic Surgery Past Accepting new patients
Institute for Bone and Joint Disorders PC Orthopaedic Surgery Past Accepting new patients

Locations

2222 E Highland Ave
Ste 400
Phoenix, AZ 85016
Phone (480) 767-2130

2222 E Highland Ave
Ste 425
Phoenix, AZ 85016
Phone (602) 667-6640

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

9700 N 91st St
Ste B108
Scottsdale, AZ 85258
Phone (480) 587-6550

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.

Hospital & facility affiliations 3

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": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229472000000",
    "number": "1932189057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9393 N 90TH ST",
            "address_2": "SUITE 102-126",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585040",
            "telephone_number": "480-451-3668",
            "fax_number": "480-451-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8205 N. VIA DE NEGOCIO DR.",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852582312",
            "telephone_number": "480-451-3668",
            "fax_number": "480-451-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSAR",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2008-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "AZ",
            "license": "28964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "636516",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.