THAYER NASEREDDIN MD
NPI 1215391701
Internal Medicine - Gastroenterology in Fort Wayne, IN

Active since April 11, 2016PECOS EnrolledAccepts Medicare Assignment
89.45/100
CMS Quality Rating
11050 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845(833) 724-8326(260) 266-7935 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 11, 2023, Nov 25, 2022 (2 updates tracked since 2022).

About Thayer Nasereddin Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THAYER NASEREDDIN MD (NPI 1215391701) is an individual gastroenterology provider in Fort Wayne, Indiana, licensed in Indiana (01087422A) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Franciscan Health Mooresville, and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1215391701
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameTHAYER NASEREDDINCredential: MD
Location Address11050 PARKVIEW CIRCLE DRFort Wayne, IN 46845-1739
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Fax(260) 266-7935
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 11, 2016
Last NPPES UpdateMay 11, 20232 updates tracked since enumeration
NPPES CertifiedMay 11, 2023
NPI 1215391701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in IN · 01087422A
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
11050 PARKVIEW CIRCLE DR, Fort Wayne, IN 46845

Secondary Practice Location 1

Location 18051 S Emerson Ave Ste 200Indianapolis, IN 46237-8632 · Phone (317) 865-2955 · Fax (317) 865-2954

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Thayer Nasereddin Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901275106
PECOS Enrollment IDI20221209002523
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 17

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
98 services94 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
76 services58 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
66 services66 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
44 services44 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
41 services35 patients
Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 43264
This procedure, called an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible tube with a camera (endoscope) to locate and remove stones or debris from your bile or pancreatic duct. It's a non-surgical method to clear the ducts, enhancing your digestive health.
35 services32 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Franciscan Health Mooresville

Acute Care Hospitals · Mooresville, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150057
Location1201 Hadley RdMooresville, IN 46158 · Morgan County
Emergency services Birthing friendly

Major Hospital

Acute Care Hospitals · Shelbyville, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150097
Location2451 Intelliplex DrShelbyville, IN 46176 · Shelby County
Emergency services Birthing friendly

Franciscan Health Indianapolis

Acute Care Hospitals · Indianapolis, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150162
Location8111 S Emerson AveIndianapolis, IN 46237 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46845 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.9
Promoting Interoperability99
Improvement Activities40
Cost78.78

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Oncology)
11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Obstetrics & Gynecology
11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Obstetrics & Gynecology (Gynecologic Oncology)
11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Nurse Practitioner
11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Nurse Practitioner
11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Surgery
11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Nurse Practitioner
11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Nurse Practitioner
11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thayer Nasereddin's NPI number?

The NPI number for Thayer Nasereddin is 1215391701. It was assigned to this individual provider in the NPPES registry on April 11, 2016.

Where is Thayer Nasereddin located?

Thayer Nasereddin practices at 11050 Parkview Circle Dr, Fort Wayne, IN 46845. The listed phone number is (833) 724-8326.

What is Thayer Nasereddin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Thayer Nasereddin enrolled in Medicare?

Yes. Thayer Nasereddin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Thayer Nasereddin accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Thayer Nasereddin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Thayer Nasereddin affiliated with any hospitals?

According to CMS data, Thayer Nasereddin is affiliated with Franciscan Health Mooresville, Major Hospital and Franciscan Health Indianapolis.

When was this NPI record last updated?

The NPPES record for Thayer Nasereddin was last updated on May 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.