NPIMap

Individual provider Active NPI

Eric S Nussbaum, MD

  • Neurological Surgery Physician
  • Edina, MN
National Provider Identifier
1306813092
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
40092 Issued in MN
Practice address
7373 France Ave S Ste 408
Edina, MN 55435-4549
Phone
(651) 430-3800
Fax
(651) 430-3827
NPI assigned
Mar 2, 2006
Last updated
May 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 40092 MN Primary

Addresses

Primary practice location

7373 France Ave S Ste 408
Edina, MN 55435-4549

Mailing address

1950 Northwestern Ave S Ste 102
Stillwater, MN 55082-7615
Phone (651) 430-3800

Other identifiers 2

IdentifierTypeStateIssuer
684016700MedicaidMN
257S0NUOtherMNBCBS MN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111221000799 MN Practitioner - Neurosurgery 5395787360 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Maryland School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians
Group Health IncGroup PAC ID 1759293954, 1,627 clinicians
North Memorial Health CareGroup PAC ID 0042123028, 502 clinicians

Practice addresses (Care Compare)

11850 Blackfoot St NW
Suite 490
Coon Rapids, MN 55433-2773
Phone (612) 871-7278

225 Smith Ave N
Suite 100
Saint Paul, MN 55102-2533
Phone (651) 292-0007

295 Phalen Blvd
Saint Paul, MN 55130-2400
Phone (651) 495-6200

3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone (763) 520-4897

401 Phalen Blvd
Saint Paul, MN 55130-5302
Phone (651) 254-7400

435 Phalen Blvd
Saint Paul, MN 55130-5302
Phone (651) 291-2848

640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 221-3456

8600 Nicollet Ave
Bloomington, MN 55420-2824
Phone (952) 884-1148

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

Procedures performed for Medicare patients

ProcedureNumber of procedures
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System Current Accepting new patients
North Memorial Health Care CurrentSince Mar 1, 2023 Accepting new patients
Group Health, Inc. CurrentSince May 15, 2023 Accepting new patients
North Memorial Health Care CurrentSince Mar 1, 2023 Accepting new patients
North Memorial Health Care Current Accepting new patients
Midwest Spine & Brain Institute, L.L.C. CurrentSince Jan 1, 2023 Accepting new patients
Group Health, Inc. CurrentSince May 15, 2023 Accepting new patients
Allina Health System CurrentSince Dec 1, 2023 Accepting new patients
Allina Health System CurrentSince Dec 1, 2023 Accepting new patients
Allina Health System Past Accepting new patients
North Memorial Health Care Past Accepting new patients

Locations

11850 Blackfoot St NW
Ste 490
Minneapolis, MN 55433
Phone (612) 871-7278

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

420 Delaware St SE
#126
Minneapolis, MN 55455
Phone (612) 626-2378

7373 France Ave S
Ste 408
Minneapolis, MN 55435
Phone (952) 831-8228

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

3366 Oakdale Ave N
Ste 200
Robbinsdale, MN 55422
Phone (763) 287-5000

280 Smith Ave N
Ste 600
Saint Paul, MN 55102
Phone (651) 241-6550

295 Phalen Blvd
Saint Paul, MN 55130
Phone (651) 254-3200

333 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-8256

401 Phalen Blvd
Saint Paul, MN 55130
Phone (651) 254-7870

1950 Northwestern Ave S
Ste 102
Stillwater, MN 55082
Phone (651) 259-4515

Interoperability endpoints

  • Direct secure messaging: enussbaum84878@excellian.direct.allina.com
  • Direct secure messaging: eric.nussbaum.p1@direct.midwestspinebrain.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/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 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1306813092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 NORTHWESTERN AVE S STE 102",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550827615",
            "telephone_number": "651-430-3800",
            "fax_number": "651-430-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 FRANCE AVE S STE 408",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354549",
            "telephone_number": "651-430-3800",
            "fax_number": "651-430-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUSSBAUM",
        "first_name": "ERIC",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MN",
            "license": "40092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "684016700",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MN",
            "identifier": "257S0NU",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.