Chris Nussbaum, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0049552 Issued in FL

Practice address

510 Vonderburg Drive
Suite 213
Brandon, FL 33511-5979

Phone

(813) 508-1640

Fax

(813) 571-5789

NPI assigned

Jul 25, 2006

Last updated

Aug 9, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

General Practice

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Josephs Hospital Hospital, Tampa, FL, CCN 100075

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chris.nussbaum@266451748978692.direct.elationemr.com

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.

• Concierge Care Tampa Bay LLC

  • General Practice Physician
  • Brandon, FL
  • NPI 1568805679
  Medicare reassignment NPD Authorized official
• Concierge Care of Tampa Bay, LLC

  • Internal Medicine Physician
  • Brandon, FL
  • NPI 1245589555
  NPD Authorized official
• Premier Hospitalists PL

  • Hospitalist Physician
  • Tampa, FL
  • NPI 1396989380
  NPD (past)

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

• St. Joseph's Hospital, Inc.

  dba St. Joseph's Women's Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1346519816
  Care Compare affiliation
• St. Joseph's Hospital, Inc.

  dba St. Joseph's Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1881632818
  Care Compare affiliation

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1306869391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 MORFIELD LN",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116336",
            "telephone_number": "813-508-1640",
            "fax_number": "813-571-5789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 VONDERBURG DRIVE",
            "address_2": "SUITE 213",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115979",
            "telephone_number": "813-508-1640",
            "fax_number": "813-571-5789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUSSBAUM",
        "first_name": "CHRIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0049552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NP on Duty LLC
• Josefina Cruz Nuguid, COTA/L
• Yahima Nunez Leygonier
• Diana Nunez
• Nur Behavioral Health
• Kelly Kathleen Nye
• Renee Michelle O'Connell
• Zoey O'Connor
• Michael O'Donnell, DMD
• Leanne O'Keefe-Cox, PTA

• Internal Medicine Physician in Brandon, FL
• Providers in Brandon, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.

Verify at the official NPI Registry.