DR. MICHEL ERNEST NUSSBAUM M.D.
NPI 1215917935
Internal Medicine - Gastroenterology in Fresh Meadows, NY

Q: What is Michel Nussbaum's NPI number?

The NPI number for Michel Nussbaum is 1215917935. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Q: What is Michel Nussbaum's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michel Nussbaum was last updated on June 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 19, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

163-03 HORACE HARDING EXPRESSWAY, THIRD FLOOR, FRESH MEADOWS, NY 11365(718) 670-2386(718) 460-6869 Get Directions Write a Review

NPPES record last updated: June 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2023, May 30, 2023, Jan 29, 2023 (3 updates tracked since 2023).

On this page

About Dr. Michel Ernest Nussbaum M.d. NPPES

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

DR. MICHEL ERNEST NUSSBAUM M.D. (NPI 1215917935) is an individual gastroenterology provider in Fresh Meadows, New York, licensed in New York (136263) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian/queens, and is a graduate of Other (1977).

NPPES Registry Identity

NPI1215917935

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. MICHEL ERNEST NUSSBAUMCredential: M.D.

Location Address163-03 HORACE HARDING EXPRESSWAY, THIRD FLOORFresh Meadows, NY 11365-1136

Mailing Address201 E 17th St Apt 3hNew York, NY 10003-3675 · (917) 952-6010 · Fax (212) 254-8045

Phone(718) 670-2386

Fax(718) 460-6869

Sole ProprietorNo

Medical School CMSOtherGraduated 1977

Enumeration DateJanuary 19, 2006

Last NPPES UpdateJune 16, 20233 updates tracked since enumeration

NPPES CertifiedJune 16, 2023

✔ NPI 1215917935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in NY · 136263

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.

163-03 HORACE HARDING EXPRESSWAY, Fresh Meadows, NY 11365

Open in Google Maps ↗

Other Identifiers 10

Other10P0341NY · Ny Hospital Comm Plan

Other666001NY · United Health Care

Other0539960NY · Aetna

Other071A4110NY · Blue Cross

Other159885NY · Elderplan

OtherDS583NY · Oxford

Other0C0936NY · Health Net

Medicaid00734556NY

OtherOH752PNY · Health Care Partners

Other0084958NY · Ghi

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. Michel Ernest Nussbaum M.d. 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 ID4789727611

PECOS Enrollment IDI20100201000545

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 13

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

240 services187 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

198 services107 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

195 services174 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

104 services101 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

83 services72 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

81 services81 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.

55 services52 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.

32 services32 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

30 services30 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

20 services19 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.

19 services19 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

13 services13 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian/Queens

Acute Care Hospitals · Flushing, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330055

Location56-45 Main StreetFlushing, NY 11355 · Queens County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11365 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

$153.13 typical visit price

range $67.00 – $201.98

Typical copayment $38.28 (range $16.75 – $50.49)

Most-billed visit code 99204

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.8

Promoting Interoperability

100

Improvement Activities

Leave this field empty

Other Providers at the Same Location NPPES

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

MARK NOVICK MD PC

Radiology (Diagnostic Radiology)

163-03 HORACE HARDING EXPRESSWAY
FLUSHING, NY 11365

Queens County (718) 353-1155

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 Michel Nussbaum's NPI number?

The NPI number for Michel Nussbaum is 1215917935. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Michel Nussbaum located?

Michel Nussbaum practices at 163-03 Horace Harding Expressway Third Floor, Fresh Meadows, NY 11365. The listed phone number is (718) 670-2386.

What is Michel Nussbaum's specialty?

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

Is Michel Nussbaum enrolled in Medicare?

Yes. Michel Nussbaum 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.

Is Michel Nussbaum affiliated with any hospitals?

According to CMS data, Michel Nussbaum is affiliated with New York-Presbyterian/Queens.

When was this NPI record last updated?

The NPPES record for Michel Nussbaum was last updated on June 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.