Michael A. Nissenbaum, MD
NPI 1356328975ActiveIndividual· Radiology, Diagnostic Radiology· Oklahoma City, OK
Radiology, Diagnostic Radiology (MD) with Valley Physician Services PC and 3 other groups, practicing in Oklahoma City, Oklahoma. Medicare paid $58,231 for services to 1,519 patients in 2024. Lists Mary Washington Hospital and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1356328975 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Dec 23, 2005 |
| Last updated in NPPES | Aug 20, 2026 |
| Certified by provider | Aug 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | 46969 | OK |
| Radiology, Diagnostic Radiology | 2085R0202X | 25IA12454600 | NJ |
| Radiology, Diagnostic Radiology | 2085R0202X | 0101287300 | VA |
| Radiology, Diagnostic Radiology | 2085R0202X | 305724 | LA |
| Radiology, Diagnostic Radiology | 2085R0202X | 042.0007498 | VT |
| Radiology, Diagnostic Radiology | 2085R0202X | EL31162 | NH |
| Radiology, Diagnostic Radiology | 2085R0202X | 72052 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (NH); Practitioner - Diagnostic Radiology (NJ); Practitioner - Diagnostic Radiology (OK); Practitioner - Diagnostic Radiology (PA); Practitioner - Diagnostic Radiology (TN); Practitioner - Diagnostic Radiology (VT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,519 |
|---|---|
| Services billed | 2,468 across 137 procedure codes |
| Paid by Medicare | $58,231 |
Education and affiliations
| Graduation year | 1983 |
|---|---|
| Medicare specialty | Diagnostic Radiology |
Medical groups
- Valley Physician Services PCReading, PA · 592 clinicians
- Virtual Radiologic Professionals LLCPensacola, FL · 397 clinicians
- Mary Washington Healthcare Providers LLCMc Lean, VA · 262 clinicians
- Red River Consultants IncGilbert, AZ · 57 clinicians
Hospital affiliations
- Mary Washington HospitalFredericksburg, VA
- Southwestern Vermont Medical CenterBennington, VT
- Stafford Hospital, LLCStafford, VA
- Valley HospitalParamus, NJ
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 196 diagnostic radiologists in Oklahoma City · All diagnostic radiologists in Oklahoma