FAWAZ NASSAR (MD) – Internal Medicine Physician, NPI 1053389890
Internal Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
9,967 INTERNAL MEDICINE in PA
Provider Addresses for FAWAZ NASSAR (MD)
1 Kirkland Village Cir
Bethlehem, PA 180174797
Phone: (610) 691-4500
Type: Location
3178 W Tilghman St
Allentown, PA 181044222
Phone: (610) 844-9150
Type: Location
155 SAND SPRINGS DR
DRUMS, PA 182222027
Phone: (570) 708-1996
Fax: (570) 708-1996
Type: Mailing
5699 REPPERT LN
ALLENTOWN, PA 181069132
Phone: (570) 764-1814
Fax: (570) 764-1814
Type: Mailing
1111 E END BLVD
WILKES BARRE, PA 187110026
Phone: (570) 824-3521
Type: Location
North Church Street, Hazleton Station, Hazleton, Luzerne County, Pennsylvania, 18201, United States
HAZLETON, PA 182021446
Phone: (570) 459-1485
Fax: (570) 459-6354
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2005-10-14
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 |
|---|---|---|---|---|
| I20051014000296 | I | Internal Medicine | PA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 18017)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | PA | |
| Nurse Practitioner | PA | |
| Family Practice | PA | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | IL | |
| Physician Assistant | PA | |
| General Practice, Interventional Pain Management | PA | |
| Nurse Practitioner | NC | |
| Hospitalist, Internal Medicine, Hospitalist | LA | |
| Physician Assistant | PA |
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