THAYER NASEREDDIN (MD) – Gastroenterology Physician, NPI 1215391701
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
448 GASTROENTEROLOGY in IN
Provider Addresses for THAYER NASEREDDIN (MD)
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 468451701
Phone:
Type: Mailing
8051 S Emerson Ave Ste 200
Indianapolis, IN 462378632
Phone: (317) 865-2955
Fax: (317) 865-2954
Type: Location
11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN 468451739
Phone: (833) 724-8326
Fax: (260) 266-7935
Type: Location
Allegheny General Hospital, 320, East North Avenue, East Allegheny, Pittsburgh, Allegheny County, Pennsylvania, 15212, United States
PITTSBURGH, PA 152124772
Phone: (412) 359-3846
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 84 Open Payments records for all available years, with a total value of $1,928.
Total Amount is formed as General ($1,928) + Research ($0) + Ownership ($0) = $1,928.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($528).
Total Amount
$1,928
General + Research + Ownership
Payments
84
Total payment records
General Amount
$1,928
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2022-12-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221209002523 | I | Gastroenterology | IN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 47 | 47 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 37 | 37 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 24 | 24 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 20 | 20 | $0 |
| 74328 | Review by radiologist of image from tube placement into bile duct using an endoscope | 18 | 16 | $0 |
Insurance plans in this area (ZIP 46845)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | IN | |
| G A S T R O E N T E R O L O G Y | IN | |
| G A S T R O E N T E R O L O G Y | IN | |
| Nurse Practitioner | IN | |
| Gastroenterology, Internal Medicine | IN | |
| - | IN | |
| Physician Assistant | IN | |
| Gastroenterology, Internal Medicine | IN | |
| Nurse Practitioner | IN | |
| Gastroenterology, Internal Medicine | IN |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.