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LARA NASSAR
NPI 1780487561
Physician Assistant in Southfield, MI

Active since March 28, 2025PECOS Enrolled
21000 W 10 MILE RD, SOUTHFIELD, MI 48075(313) 380-0527 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 3, 2025, Mar 28, 2025 (2 updates tracked since 2025).

About Lara Nassar NPPES

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

LARA NASSAR (NPI 1780487561) is an individual physician assistant in Southfield, Michigan, licensed in Michigan (5601013454) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Detroit, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1780487561
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLARA NASSAR
Location Address21000 W 10 MILE RDSouthfield, MI 48075-1051
Mailing Address21000 W 10 Mile RdSouthfield, MI 48075-1051 · (313) 380-0527
Phone(313) 380-0527
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 28, 2025
Last NPPES UpdateDecember 3, 20252 updates tracked since enumeration
NPPES CertifiedDecember 3, 2025
✔ NPI 1780487561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601013454
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
21000 W 10 MILE RD, Southfield, MI 48075
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Secondary Practice Location 1

Location 13901 Beaubien StDetroit, MI 48201-2119 · Phone (313) 745-5870

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lara Nassar is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072093723
PECOS Enrollment IDI20260212004059
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48075 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

ALEXIA SHINA
Physician Assistant
21000 W 10 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 204-4000
JULIA KAJI
Physician Assistant
21000 W 10 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 513-9355
RAVEN RITA SEMMA
Student in an Organized Health Care Education/Training Program
21000 W 10 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 225-5588
SAMUEL HARRISON ORR DAT, LAT, ATC
Specialist/Technologist (Athletic Trainer)
21000 W 10 MILE RD
SOUTHFIELD, MI 48075
Oakland County (313) 461-7436
HANNAH DIANN ROBINSON
Physician Assistant
21000 W 10 MILE RD
SOUTHFIELD, MI 48075
Oakland County (616) 466-0424
NADIYA BORYS
Physician Assistant
21000 W 10 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 204-3606
MALAK ELMOKADAM PA-C
Physician Assistant
21000 W 10 MILE RD
SOUTHFIELD, MI 48075
Oakland County (313) 802-0193
ALAA HAMKA
Physician Assistant
21000 W 10 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 204-4000

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 Lara Nassar's NPI number?

The NPI number for Lara Nassar is 1780487561. It was assigned to this individual provider in the NPPES registry on March 28, 2025.

Where is Lara Nassar located?

Lara Nassar practices at 21000 W 10 Mile Rd, Southfield, MI 48075. The listed phone number is (313) 380-0527.

What is Lara Nassar's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lara Nassar enrolled in Medicare?

Yes. Lara Nassar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lara Nassar was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.