DR. NIZAR H. SENUSSI MD
NPI 1174964878
Internal Medicine - Gastroenterology in Salem, OR

Active since July 10, 2013PECOS EnrolledAccepts Medicare Assignment
79.97/100
CMS Quality Rating
875 OAK ST SE STE C3010, SALEM, OR 97301(503) 399-7520(503) 362-7344 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 7, 2024, Jul 5, 2024, Jan 10, 2023 and 4 more (7 updates tracked since 2017).

About Dr. Nizar H. Senussi Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NIZAR H. SENUSSI MD (NPI 1174964878) is an individual gastroenterology provider in Salem, Oregon, licensed in Oregon (MD219425) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Salem Hospital, and maintains a secondary practice location in Edmonds.

NPPES Registry Identity

NPI1174964878
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. NIZAR H. SENUSSICredential: MD
Location Address875 OAK ST SE STE C3010Salem, OR 97301-3975
Mailing Address875 Oak St Se Ste C3010Salem, OR 97301-3975 · (503) 399-7520 · Fax (033) 627-3445
Fax(503) 362-7344
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 10, 2013
Last NPPES UpdateAugust 7, 20247 updates tracked since enumeration
NPPES CertifiedAugust 7, 2024
NPI 1174964878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in OR · MD219425 Licensed in WA · MD60752410
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD60752410 (WA)
Also ListedInternal Medicine · HepatologyTaxonomy 207RI0008X · License MD60752410 (WA)
Also ListedInternal Medicine · Transplant HepatologyTaxonomy 207RT0003X · License MD60752410 (WA)
875 OAK ST SE STE C3010, Salem, OR 97301

Secondary Practice Location 1

Location 121600 Highway 99 Ste 260Edmonds, WA 98026-8049 · Phone (425) 774-2650 · Fax (425) 774-2643

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Nizar H. Senussi Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688973589
PECOS Enrollment IDI20240722002258
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
57 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
35 services35 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
33 services33 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
29 services29 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
29 services29 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
19 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Salem Hospital

Acute Care Hospitals · Salem, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380051
Location890 Oak Street, SESalem, OR 97301 · Marion County
Emergency services Birthing friendly

West Valley Hospital

Critical Access Hospitals · Dallas, OR
OwnershipVoluntary non-profit - Private
CMS Certification Number381308
Location525 SE Washington StreetDallas, OR 97338 · Polk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.25 typical visit price
range $54.96 – $166.64
Typical copayment $31.56 (range $13.74 – $41.66)
Most-billed visit code 99204
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.67
Promoting Interoperability100
Improvement Activities40
Cost63.57

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
875 OAK ST SE STE C3010
SALEM, OR 97301
Internal Medicine (Gastroenterology)
875 OAK ST SE STE C3010
SALEM, OR 97301
Internal Medicine (Gastroenterology)
875 OAK ST SE STE C3010
SALEM, OR 97301
Internal Medicine (Gastroenterology)
875 OAK ST SE STE C3010
SALEM, OR 97301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nizar Senussi's NPI number?

The NPI number for Nizar Senussi is 1174964878. It was assigned to this individual provider in the NPPES registry on July 10, 2013.

Where is Nizar Senussi located?

Nizar Senussi practices at 875 Oak St SE Ste C3010, Salem, OR 97301. The listed phone number is (503) 399-7520.

What is Nizar Senussi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Nizar Senussi enrolled in Medicare?

Yes. Nizar Senussi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nizar Senussi accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Nizar Senussi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nizar Senussi affiliated with any hospitals?

According to CMS data, Nizar Senussi is affiliated with Salem Hospital and West Valley Hospital.

When was this NPI record last updated?

The NPPES record for Nizar Senussi was last updated on August 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.