Individual provider Active NPI

Michael Lynn Nussbaum, M.D.

  • Surgery Physician
  • Abington, PA
National Provider Identifier
1164409678
Registry record updated Aug 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD-038733E Issued in PA
Practice address
1245 Highland Ave
Suite 600
Abington, PA 19001-3714
Phone
(215) 887-3990
Fax
(215) 887-1140
NPI assigned
Dec 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD-038733E PA Primary

Addresses

Primary practice location

1245 Highland Ave
Suite 600
Abington, PA 19001-3714

Mailing address

1245 Highland Ave
Suite 600
Abington, PA 19001-3714
Phone (215) 887-3990

Other identifiers 6

IdentifierTypeStateIssuer
265028OtherPABLUE CROSS BLUE SHIELD
0012574100008MedicaidPA
1002111OtherPAAETNA
0072656000OtherPAKEYSTONE
020054344OtherPARAILROAD MEDICARE
7290859004OtherPWCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090121000233 PA Practitioner - Surgical OncologyPractitioner - General Surgery 0244123388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Surgical OncologyAlso: General Surgery
Education
Indiana University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1245 Highland Ave
Suite 600
Abington, PA 19001-3714

1245 Highland Ave
Suite 600
Abington, PA 19001-3752

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.59 of 100Reported as group
Quality
87.71
Improvement activities
40
Cost
77.02

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-038733EPAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abington Memorial Hospital Past Accepting new patients
Huntingdon Valley Surgical Consultants Surgery PastSince Sep 1, 2018 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: michael.nussbaum@scs.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408060800000",
    "number": "1164409678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 HIGHLAND AVE",
            "address_2": "SUITE 600",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013714",
            "telephone_number": "215-887-3990",
            "fax_number": "215-887-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 HIGHLAND AVE",
            "address_2": "SUITE 600",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013714",
            "telephone_number": "215-887-3990",
            "fax_number": "215-887-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUSSBAUM",
        "first_name": "MICHAEL",
        "middle_name": "LYNN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2014-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD-038733E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "265028",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012574100008",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1002111",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0072656000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020054344",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7290859004",
            "state": "PW"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abington, PA

Sources for this page

Verify at the official NPI Registry.