Individual provider Active NPI

Nizar H. Senussi, MD

  • Gastroenterology Physician
  • Brownwood, TX
National Provider Identifier
1174964878
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
U9443 Issued in TX
Practice address
1501 Burnet Rd
Brownwood, TX 76801-8520
Phone
(325) 641-1140
NPI assigned
Jul 10, 2013
Last updated
Oct 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD60752410 WA
Gastroenterology Physician 207RG0100X U9443 TX Primary
Gastroenterology Physician 207RG0100X MD60752410 WA
Gastroenterology Physician 207RG0100X MD219425 OR
Hepatology Physician 207RI0008X MD60752410 WA
Transplant Hepatology Physician 207RT0003X MD60752410 WA

Addresses

Primary practice location

1501 Burnet Rd
Brownwood, TX 76801-8520

Mailing address

27796 SW Marigold Ter
Wilsonville, OR 97070
Phone (000) 000-0000

Other practice location 1

21600 Highway 99 Ste 260
Edmonds, WA 98026-8049
Phone (425) 774-2650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, NM, OR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170712002849 WA Practitioner - Internal Medicine 4688973589 Reassigns benefits to 2 organizations
I20230328000799 NM Practitioner - Gastroenterology 4688973589 Reassigns benefits to 1 organization
I20240722002258 OR Practitioner - Gastroenterology 4688973589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salem Gastroenterology Consultants PCGroup PAC ID 4183611361, 15 clinicians

Practice addresses (Care Compare)

875 Oak St SE
Suite 3010
Salem, OR 97301-3978
Phone (503) 399-7520

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy92
Upper gastrointestinal (GI) endoscopy for acid reflux84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60752410WAMDTransplant Hepatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Sound Inpatient Physicians PLLC Internal Medicine Current Accepting new patients
Puget Sound Gastroenterology, PLLC Gastroenterology CurrentSince Apr 1, 2023 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Apr 15, 2023 Accepting new patients
Salem Gastroenterology Consultants, PC Gastroenterology CurrentSince Sep 1, 2024 Accepting new patients
Puget Sound Gastroenterology, PLLC Gastroenterology CurrentSince Apr 1, 2023 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Mar 1, 2018 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Apr 15, 2023 Accepting new patients
Puget Sound Gastroenterology, PLLC Current Accepting new patients
Cogent Healthcare of Washington, PC Internal Medicine CurrentSince Apr 2, 2022 Accepting new patients
South Sound Inpatient Physicians, PLLC Internal Medicine CurrentSince Mar 1, 2018 Accepting new patients
Salem Health Past Accepting new patients
Cellnetix Pathology, PLLC Past Accepting new patients

Locations

4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360

4705 Montgomery Blvd NE
Ste 201
Albuquerque, NM 87109
Phone (505) 727-6550

4801 McMahon Blvd NW
Ste 110
Albuquerque, NM 87114
Phone (505) 727-4500

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

4747 Skyline Rd S
Salem, OR 97306
Phone (503) 399-7520

875 Oak St SE
Ste 3010
Salem, OR 97301
Phone (503) 399-7520

875 Oak St SE
Ste C3010
Salem, OR 97301
Phone (503) 399-7520

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

21600 Highway 99
Ste 260
Edmonds, WA 98026
Phone (425) 774-2650

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

16504 9th Ave SE
Ste 201
Mill Creek, WA 98012
Phone (425) 686-7138

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000

Interoperability endpoints

  • FHIR API: https://7e6d65ac-543a-4d66-acb8-36b51c8c951c.gastro.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 12

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

Hospital & facility affiliations 2

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": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1174964878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27796 SW MARIGOLD TER",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "97070",
            "telephone_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 BURNET RD",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768018520",
            "telephone_number": "325-641-1140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21600 Highway 99 Ste 260",
            "address_purpose": "LOCATION",
            "city": "Edmonds",
            "state": "WA",
            "postal_code": "980268049",
            "country_code": "US",
            "telephone_number": "425-774-2650",
            "fax_number": "425-774-2643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SENUSSI",
        "first_name": "NIZAR",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-10",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60752410",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "U9443",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "MD60752410",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OR",
            "license": "MD219425",
            "primary": false
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "WA",
            "license": "MD60752410",
            "primary": false
        },
        {
            "code": "207RT0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Transplant Hepatology",
            "state": "WA",
            "license": "MD60752410",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownwood, TX

Sources for this page

Verify at the official NPI Registry.