DR. JEFFREY NUSBAUM M.D.
NPI 1922191345
Family Medicine in West Bloomfield, MI
About Dr. Jeffrey Nusbaum M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JEFFREY NUSBAUM M.D. (NPI 1922191345) is an individual family medicine provider in West Bloomfield, Michigan, licensed in Michigan (4301055127) and active in the NPI registry since September 2006. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Jeffrey Nusbaum M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2000 through January 1, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48322 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jeffrey Nusbaum's NPI number?
The NPI number for Jeffrey Nusbaum is 1922191345. It was assigned to this individual provider in the NPPES registry on September 30, 2006.
Where is Jeffrey Nusbaum located?
Jeffrey Nusbaum practices at 5821 W Maple Rd Suite 192, West Bloomfield, MI 48322. The listed phone number is (248) 851-1600.
What is Jeffrey Nusbaum's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jeffrey Nusbaum enrolled in Medicare?
No. Jeffrey Nusbaum has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Jeffrey Nusbaum was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. Jeffrey Nusbaum, M.D. · NPI 1922191345
Family Medicine physician in West Bloomfield, Michigan. Individual provider, active in the CMS NPPES registry since September 30, 2006.
## Identity
- **NPI:** 1922191345 (Entity type: Individual)
- **Enumerated:** September 30, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 4301055127 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 5821 W MAPLE RD, SUITE 192, West Bloomfield, MI 48322-2275
- **Phone:** (248) 851-1600 · **Fax:** (248) 851-0421
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare UPIN F42228 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1922191345) · Data from the CMS NPPES public registry.