Individual provider Active NPI

John Michael Nassif, M.D.

  • Ophthalmology Physician
  • Naples, FL
National Provider Identifier
1982698049
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME66463 Issued in FL
Practice address
2350 Vanderbilt Beach Rd
101
Naples, FL 34109-2760
Phone
(239) 494-4441
Fax
(239) 204-2050
NPI assigned
Sep 6, 2005
Last updated
May 23, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME66463 FL Primary

Addresses

Primary practice location

2350 Vanderbilt Beach Rd
101
Naples, FL 34109-2760

Mailing address

17981 Via Bellamare LN
Miromar Lakes, FL 33913-7603
Phone (239) 851-1518

Other identifiers 3

IdentifierTypeStateIssuer
3031588OtherFLCIGNA
P00215266OtherFLRR MEDICARE
26137OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050526000732 FL Practitioner - Ophthalmology 5597707828 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Iowa, RJ & L Carver College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey L Zimm MD PAGroup PAC ID 7719925858, 5 clinicians

Practice addresses (Care Compare)

1435 Immokalee Rd
Naples, FL 34110-1401
Phone (239) 592-5511

2350 Vanderbilt Beach Rd
Naples, FL 34109-2760

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision25
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME66463FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey L Zimm MD PA Ophthalmology CurrentSince Nov 1, 2014 Accepting new patients
St Lukes Cataract & Laser Institute Ophthalmology Past Accepting new patients
St Lukes Surgical Center Inc Ophthalmology Past Accepting new patients
Southwest Michigan Eye Center PLC Ophthalmology Past Accepting new patients
The Retina & Macular Degeneration Center of SW Florida PLLC PastSince Nov 1, 2014 Accepting new patients
Ralph Garramone MD PA Past Accepting new patients
Terry M. Kelly DMD PA PastSince Jan 4, 2004 Accepting new patients

Locations

6150 Diamond Centre Ct
Ste 900
Fort Myers, FL 33912
Phone (239) 768-7022

1435 Immokalee Rd
Naples, FL 34110
Phone (239) 592-5511

1735 Heritage Trl
Naples, FL 34112
Phone (239) 775-7711

Networks

  • Freedom Health HMO Network

Organizations & group practices 8

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 1

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": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1982698049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17981 VIA BELLAMARE LN",
            "city": "MIROMAR LAKES",
            "state": "FL",
            "postal_code": "339137603",
            "telephone_number": "239-851-1518",
            "fax_number": "239-204-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 VANDERBILT BEACH RD",
            "address_2": "101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092760",
            "telephone_number": "239-494-4441",
            "fax_number": "239-204-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSIF",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME66463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3031588",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00215266",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "26137",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.