DR. OLEG NISENBERG MD, PHD
NPI 1255541058
Internal Medicine in Loma Linda, CA

Active since May 23, 2007PECOS EnrolledAccepts Medicare Assignment
11234 ANDERSON ST, LLUMC HOUSE STAFF OFFICE CP 21005, LOMA LINDA, CA 92354(909) 558-4000 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Oleg Nisenberg Md, Phd NPPES

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

DR. OLEG NISENBERG MD, PHD (NPI 1255541058) is an individual internal medicine provider in Loma Linda, California, licensed in California (A99081) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania State University College Of Medicine (2005).

NPPES Registry Identity

NPI1255541058
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. OLEG NISENBERGCredential: MD, PHD
Location Address11234 ANDERSON ST, LLUMC HOUSE STAFF OFFICE CP 21005Loma Linda, CA 92354-2804
Mailing Address11234 Anderson St, Llumc House Staff Office Cp 21005Loma Linda, CA 92354-2804 · (909) 558-4000
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2005
Enumeration DateMay 23, 2007
Last NPPES UpdateDecember 6, 2021
NPI 1255541058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A99081
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
11234 ANDERSON ST, Loma Linda, CA 92354

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. Oleg Nisenberg Md, Phd 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 ID5698839744
PECOS Enrollment IDI20090204000315
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92354 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

Other Providers at the Same Location NPPES 20

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

Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
General Practice
11234 ANDERSON ST
LOMA LINDA, CA 92354
Preventive Medicine (Occupational Medicine)
11234 ANDERSON ST
LOMA LINDA, CA 92354
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST
LOMA LINDA, CA 92354
Radiology (Diagnostic Radiology)
11234 ANDERSON ST
LOMA LINDA, CA 92354
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
Nurse Anesthetist, Certified Registered
11234 ANDERSON ST
LOMA LINDA, CA 92354

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 Oleg Nisenberg's NPI number?

The NPI number for Oleg Nisenberg is 1255541058. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Oleg Nisenberg located?

Oleg Nisenberg practices at 11234 Anderson St Llumc House Staff Office Cp 21005, Loma Linda, CA 92354. The listed phone number is (909) 558-4000.

What is Oleg Nisenberg's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Oleg Nisenberg enrolled in Medicare?

Yes. Oleg Nisenberg 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.

When was this NPI record last updated?

The NPPES record for Oleg Nisenberg was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.