WILLIAM NASSOUR (MD) – Internal Medicine Physician, NPI 1104131820

WILLIAM NASSOUR (MD) is a healthcare provider. based in Phoenix, Arizona. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 47483 (AZ). The NPI Number for WILLIAM NASSOUR (MD) is 1104131820

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM NASSOUR (MD)
NPI
1104131820
Phone
(602) 374-7522
Address
PO BOX 17779
Enumeration Date
18 August 2010
Last Update Date
6 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6235369911
Graduation Year
2004 (22 years ago)
PAC ID
2264668615
Group Practice PAC ID
1850652496
Professional Enrollment ID
I20131113002100
Address ID
AZ853952604GO13575RDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:15State licenses:1Digital endpointsOther names

3,585 INTERNAL MEDICINE in AZ

Provider Addresses for WILLIAM NASSOUR (MD)

  • PO BOX 17779

    PHOENIX, AZ 850110779

    Phone: (602) 374-7522

    Fax: (602) 237-6997

    Type: Mailing

  • 4524 N MARYVALE PKWY STE 140

    PHOENIX, AZ 850311730

    Phone: (602) 439-6839

    Fax: (602) 439-7027

    Type: Location

  • 11295 N 99th Ave Apt 5-122

    Peoria, AZ 853455490

    Phone: (623) 295-1190

    Fax: (602) 429-8595

    Type: Location

  • 22922 N 40th Pl

    Phoenix, AZ 850508742

    Phone: (623) 295-1109

    Fax: (602) 429-8595

    Type: Location

  • 13555 WEST MCDOWELL RD.

    STE. 205

    GOODYEAR, AZ 853952626

    Phone: (623) 295-1190

    Fax: (602) 429-8595

    Type: Mailing

  • 13555 W MCDOWELL RD STE 205

    GOODYEAR, AZ 853952626

    Phone: (623) 295-1190

    Fax: (602) 429-8595

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 50 Open Payments records for all available years, with a total value of $1,069.

Total Amount is formed as General ($1,069) + Research ($0) + Ownership ($0) = $1,069.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($164).

Total Amount

$1,069

General + Research + Ownership

Payments

50

Total payment records

General Amount

$1,069

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-11-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131113002100IInternal MedicineAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes378121$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes13282$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes9065$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes7756$0
99214Established patient office or other outpatient visit, 30-39 minutes3623$0
View full utilization report →

Insurance plans in this area (ZIP 85011)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850652496View full group profile
NameSpecialtyState
Nurse PractitionerAZ
Nurse PractitionerOK
Nurse PractitionerAZ
Nurse PractitionerAZ
Internal MedicineAZ
Nurse PractitionerAZ
Internal Medicine, HospitalistFL
Nurse PractitionerAZ
Internal MedicineAR
Nurse PractitionerMS

Reviews

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Frequently asked questions

Can I use this page to confirm WILLIAM NASSOUR (MD)'s NPI?
Yes. WILLIAM NASSOUR (MD) is listed with NPI 1104131820 in the public NPI dataset.
Can I rely on WILLIAM NASSOUR (MD) being an active provider?
As of the registry snapshot, WILLIAM NASSOUR (MD) is marked active.
What is WILLIAM NASSOUR (MD)'s primary classification?
Internal Medicine Physician is the headline specialty for WILLIAM NASSOUR (MD) here. Clinical services aligned with this taxonomy classification.
What area does WILLIAM NASSOUR (MD) serve?
WILLIAM NASSOUR (MD)'s listing highlights Phoenix, Arizona; more addresses can appear in NPPES.
How many locations tie to this NPI?
6 practice locations appear in the available data.

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