Active NPI
Michael Lynn Nussbaum, M.D.
- Surgery Physician
- Abington, PA
National Provider Identifier
1164409678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD-038733E
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 265028 | Other | PA | BLUE CROSS BLUE SHIELD |
| 0012574100008 | Medicaid | PA | |
| 1002111 | Other | PA | AETNA |
| 0072656000 | Other | PA | KEYSTONE |
| 020054344 | Other | PA | RAILROAD MEDICARE |
| 7290859004 | Other | PW | CIGNA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Surgical Oncology
- 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 100
- Quality
- 87.71
- Improvement activities
- 40
- Cost
- 77.02
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-038733E | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abington Memorial Hospital | Past | Accepting new patients | |
| Huntingdon Valley Surgical Consultants | Surgery | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Surgery Physician
- Abington, PA
- NPI 1346386398
-
- General Acute Care Hospital
- Abington, PA
- NPI 1811992084
-
- Surgery Physician
- Abington, PA
- NPI 1205867371
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Abington, PA
- NPI 1811992084
-
- General Acute Care Hospital
- Meadowbrook, PA
- NPI 1750371522
-
- General Acute Care Hospital
- Lansdale, PA
- NPI 1386896306
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.