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DR. MICHAEL NUSSBAUM MD
NPI 1972571669
Surgery in Roanoke, VA

Active since March 09, 2006PECOS EnrolledAccepts Medicare Assignment
3 RIVERSIDE CIR, ROANOKE, VA 24016(540) 224-5170(540) 983-8213 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 11, 2022, Dec 10, 2020, Feb 7, 2019 and 1 more (4 updates tracked since 2017).

About Dr. Michael Nussbaum Md NPPES

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

DR. MICHAEL NUSSBAUM MD (NPI 1972571669) is an individual surgery provider in Roanoke, Virginia, licensed in Virginia (0101262004) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Carilion Medical Center, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (1981).

NPPES Registry Identity

NPI1972571669
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MICHAEL NUSSBAUMCredential: MD
Location Address3 RIVERSIDE CIRRoanoke, VA 24016-4955
Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713 · (540) 224-5715
Phone(540) 224-5170
Fax(540) 983-8213
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 1981
Enumeration DateMarch 9, 2006
Last NPPES UpdateAugust 11, 20224 updates tracked since enumeration
NPPES CertifiedAugust 11, 2022
✔ NPI 1972571669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in VA · 0101262004
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
3 RIVERSIDE CIR, Roanoke, VA 24016
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Other Identifiers 2

Medicaid880631957AGA
Medicaid0000539-00FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Nussbaum 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 ID2668470238
PECOS Enrollment IDI20170420000044
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Michael Nussbaum reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carilion Healthcare Corporation
0.7 mi
Multi-Specialty
213 S JEFFERSON ST STE 1006
Roanoke, VA 24011
  • Reassigned Medicare billing, Virginia enrollment
  • 956 clinicians in this Medicare group
NPI 1447206370 (540) 224-5452
Carilion Medical Center
1.5 mi
Multi-Specialty
1906 BELLEVIEW AVE SE
Roanoke, VA 24014
  • Reassigned Medicare billing, Virginia enrollment
  • 1,207 clinicians in this Medicare group
NPI 1730123472 (540) 981-7000
Carilion Giles Community Hospital
13 mi
Rural Health
22890 VIRGIL GOODE HWY.
Boones Mill, VA 24065
  • Reassigned Medicare billing, Virginia enrollment
  • Also billed through NPI 1023663267 (Virginia)
  • 608 clinicians in this Medicare group
NPI 1154948271 (540) 334-5511
University Of Florida Jacksonville Physicians Inc
487 mi
Pulmonary Disease
655 W 8TH ST, UFJP PULMONARY
Jacksonville, FL 32209
  • Reassigned Medicare billing, Florida enrollment
  • 1,456 clinicians in this Medicare group
NPI 1104086479 (904) 244-3660

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Carilion Medical Center

Acute Care Hospitals · Roanoke, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490024
Location1906 Belleview Avenue, SERoanoke, VA 24014 · Roanoke City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24016 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
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.

DR. JED DAVID GONZALO M.D.
Internal Medicine
3 RIVERSIDE CIR
ROANOKE, VA 24016
Roanoke City (540) 224-5170
KRISTIN MCCOY MD
Surgery
3 RIVERSIDE CIR
ROANOKE, VA 24016
Roanoke City (540) 224-5170
MRS. MODUPE OLUWASEYI JOLAOSO WHITE FNP-C
Nurse Practitioner (Family)
3 RIVERSIDE CIR
ROANOKE, VA 24016
Roanoke City (540) 224-5170
KELLY KUGACH
Podiatrist (Foot & Ankle Surgery)
3 RIVERSIDE CIR
ROANOKE, VA 24016
Roanoke City (540) 510-6200
VISHAL B. GOHIL M.D.
Internal Medicine (Gastroenterology)
3 RIVERSIDE CIR
ROANOKE, VA 24016
Roanoke City (540) 224-5170
CARLOS MORA
Psychiatry & Neurology (Neurology)
3 RIVERSIDE CIR
ROANOKE, VA 24016
Roanoke City (540) 224-5170
DR. GUY KATZ MD
Surgery
3 RIVERSIDE CIR
ROANOKE, VA 24016
Roanoke City (540) 224-5170
ASTRID BOTTY VAN DEN BRUELE M.D.
Surgery
3 RIVERSIDE CIR
ROANOKE, VA 24016
Roanoke City (540) 224-5170

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 Michael Nussbaum's NPI number?

The NPI number for Michael Nussbaum is 1972571669. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is Michael Nussbaum located?

Michael Nussbaum practices at 3 Riverside Cir, Roanoke, VA 24016. The listed phone number is (540) 224-5170.

What is Michael Nussbaum's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Michael Nussbaum enrolled in Medicare?

Yes. Michael 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.

Which organizations bill Medicare for Michael Nussbaum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Nussbaum reassigns Medicare benefits to 4 organizations: Carilion Healthcare Corporation (Roanoke, VA), Carilion Medical Center (Roanoke, VA), Carilion Giles Community Hospital (Boones Mill, VA) and University Of Florida Jacksonville Physicians Inc (Jacksonville, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Nussbaum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Michael Nussbaum affiliated with any hospitals?

According to CMS data, Michael Nussbaum is affiliated with Carilion Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Nussbaum was last updated on August 11, 2022. 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.