DR. NICHOLAS N NISSEN M.D. NPI 1174507099

NPI Information

  • NPI: 1174507099
  • Provider Name: DR. NICHOLAS N NISSEN, M.D.
  • Classification: Surgery - 2086S0102X
  • Specialization: Surgical Critical Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 127 S SAN VICENTE BLVD FL 7
    LOS ANGELES, CA
    ZIP 90048
  • Phone: (310) 423-6746

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NPI Details

DR. Nicholas N Nissen, M.D. is a surgical critical care surgery in Los Angeles, CA with 39 years of experience. The provider is a surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. DR. Nicholas N Nissen, M.D. NPI is 1174507099. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:1987

The provider's business location address is:

127 S SAN VICENTE BLVD FL 7
LOS ANGELES, CA
ZIP 90048-311
Phone: (310) 423-6746
Fax: (310) 423-7596

The NPI 1174507099 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Telephone medical discussion with physician, 21-30 minutes (HCPCS:99443)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Other procedure on pancreas (HCPCS:48999)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Destruction of growths of liver using an endoscope (HCPCS:47370)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Other procedure on liver using an endoscope (HCPCS:47379)
  • Insertion of central venous tube with port (5 years or older) (HCPCS:36561)
  • Removal of gallbladder using an endoscope (HCPCS:47562)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Transplantation of donor liver (HCPCS:47135)
  • Hernia repair (minimally invasive) (HCPCS:NAN16)

The enumeration date for this NPI number is 12/5/2005 and was last updated on 8/15/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204F00000XTransplant SurgeryG85301CALIFORNIANo
2208600000XSurgeryG85301CALIFORNIANo
32086S0102XSurgerySurgical Critical CareG85301CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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