Provider Type Icon

MICHELLE NISENBAUM MD NPI 1639259252


NPI Information

NPI: 1639259252
Provider Name: MICHELLE NISENBAUM, MD
Classification: Pain Medicine - 208VP0014X
Entity Type: Individual

Specialization: Interventional Pain Medicine

PECOS Registration: Yes

Address:
1320 WEST MAIN ST
BLDG 2
WATERBURY, CT
ZIP 06708
Phone: (203) 755-9355
Get Directions

Michelle Nisenbaum, MD is an interventional pain medicine pain medicine in Waterbury, CT with 24 years of experience. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. Michelle Nisenbaum, MD NPI is 1639259252. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1320 WEST MAIN ST
BLDG 2
WATERBURY, CT
ZIP 06708
Phone: (203) 755-9355
Fax: (203) 597-8192

The NPI 1639259252 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.

  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance (HCPCS:64483)
  • Injection procedure into sacroiliac joint for anesthetic or steroid (HCPCS:27096)
  • Injection of substance into spinal canal of lower back or sacrum using imaging guidance (HCPCS:62323)

The enumeration date for this NPI number is 10/17/2006 and was last updated on 9/12/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12081P2900XPhysical Medicine & RehabilitationPain Medicine043409CONNECTICUTNo
2208VP0014XPain MedicineInterventional Pain Medicine043409CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1043409OTHERCONNECTICARE
22V7481OTHERHEALTH NET
33821999OTHERAETNA US HEALTH CARE
4250000357MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUT
5P3673144OTHEROXFORD
62525598OTHERUNITED HEALTH CARE
72771432OTHERCIGNA
8P00296425OTHERRAILROAD MEDICARE
9010043409CT01OTHERCONNECTICUTANTHEM BCBS OF CT
10I33349MEDICARE UPIN
11001434092MEDICAIDCONNECTICUT

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.