JACOB NASSER (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1568084507

JACOB NASSER (D.P.M.) is a healthcare provider. based in Bridgeport, Connecticut. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. 291460 (KY). The NPI Number for JACOB NASSER (D.P.M.) is 1568084507

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
JACOB NASSER (D.P.M.)
NPI
1568084507
Phone
(203) 384-3998
Address
267 GRANT ST.
Enumeration Date
13 May 2020
Last Update Date
26 August 2024

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
6066334871
Graduation Year
2020 (6 years ago)
PAC ID
2466984513
Group Practice PAC ID
7618875873
Professional Enrollment ID
I20241015001871
Address ID
KY418587425WH226XXLNXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

266 PODIATRY in CT

Provider Addresses for JACOB NASSER (D.P.M.)

  • 267 GRANT ST.

    BRIDGEPORT, CT 06610

    Phone: (203) 384-3998

    Fax: (203) 384-4598

    Type: Mailing

  • PO BOX 40

    WHITESBURG, KY 418580040

    Phone: (606) 633-4823

    Type: Mailing

  • 226 MEDICAL PLAZA LN

    WHITESBURG, KY 418587425

    Phone: (606) 633-4871

    Fax: (606) 633-4300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $821.

Total Amount is formed as General ($821) + Research ($0) + Ownership ($0) = $821.

Last reported payment date: 2024-11-10 • Largest payer in this snapshot: Smith+Nephew, Inc. ($471).

Total Amount

$821

General + Research + Ownership

Payments

18

Total payment records

General Amount

$821

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-10

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: 2024-10-15

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
I20241015001871IPodiatryKYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06610)

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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: 7618875873View full group profile
NameSpecialtyState
Nurse PractitionerKY
Internal MedicineKY
Nurse PractitionerKY
Nurse PractitionerKY
Clinical Social WorkerKY
Nurse PractitionerKY
Nurse PractitionerKY
-KY
Physician AssistantKY
Clinical Social WorkerKY

Reviews

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Frequently asked questions

What identifier follows JACOB NASSER (D.P.M.) across health systems?
The NPI 1568084507 uniquely identifies JACOB NASSER (D.P.M.) in U.S. healthcare data.
Is JACOB NASSER (D.P.M.) currently accepting referrals based on NPI status?
Registry metadata lists JACOB NASSER (D.P.M.) as active.
What does the directory say JACOB NASSER (D.P.M.) does?
Insurance directories may phrase it differently, but here JACOB NASSER (D.P.M.) maps to Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Which community is linked to JACOB NASSER (D.P.M.)?
JACOB NASSER (D.P.M.) shows a connection to Bridgeport, Connecticut in registry-derived data.
Who maintains JACOB NASSER (D.P.M.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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