Provider Demographics
NPI:1427086974
Name:AASAR, SAMI MAHMOUD (MD)
Entity type:Individual
Prefix:
First Name:SAMI
Middle Name:MAHMOUD
Last Name:AASAR
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:OUSSAMA
Other - Middle Name:MAHMOUD
Other - Last Name:AASAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:9738 VIRGINIA PINE DR
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46040-8811
Mailing Address - Country:US
Mailing Address - Phone:317-604-0782
Mailing Address - Fax:
Practice Address - Street 1:13100 E 136TH ST STE 3000
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-9817
Practice Address - Country:US
Practice Address - Phone:317-678-3900
Practice Address - Fax:317-678-3910
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01055790A207R00000X, 207RC0000X, 207RI0011X
OH35C.000396207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200379340Medicaid
INP01250407OtherRAILROAD MEDICARE
INP01247353Medicare PIN
IN218650PMedicare PIN
G03037Medicare UPIN
IN264430062Medicare PIN