Michael A Nissenbaum, MD

Diagnostic Radiology (CMS) · Oklahoma City, OK

Call (405) 271-5125 Directions

At a glance

940 Ne 13Th St # 3G3210, Oklahoma City, OK 73104-5008

NPPES record updated Aug 20, 2026. Public records can lag behind changes at a practice.

Before you call: a quick checklist
  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Medicare & insurance

Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.

How to check your coverage

Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.

Check the official Medicare directory ↗

Practice location

940 Ne 13Th St # 3G3210
Oklahoma City, OK 73104-5008

Additional reported practice locations

3600 Minnesota Dr Ste 800
Edina, MN 554357915
Phone: 9525951100
Fax: 6122944903
3601 The Vanderbilt Clinic
Nashville, TN 372325349
Phone: 6153223000
101 Hospital Center Blvd
Stafford, VA 225546200
Phone: 5407415610
1001 Sam Perry Blvd
Fredericksburg, VA 224014453
Phone: 5407415610
1 Medical Center Dr
Lebanon, NH 037560001
Phone: 6036505000
REPORTED BACKGROUND

Education & affiliations

Medical / professional school
Not reported in this file
Graduation year
1983
CMS specialties
Diagnostic Radiology

Practice groups

Reported hospital affiliations

Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.

Source: CMS National Downloadable File · Published Oct 15, 2026.

Source: CMS Facility Affiliation Data · Published Oct 15, 2026.

Advertisement
Advertising spaceAdvertisements are separate from provider records.
PUBLISHED MEDICARE ACTIVITY

Procedures in the public data

Reported activity can help you ask more informed questions about a practice’s services.

No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.

CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology

Source: CMS Utilization Data · Published Oct 15, 2026.

Find providers with a similar service mix

Compare 2024 published Medicare activity in the same reported specialty, here or in another city.

Explore similar providers →
PAYMENT TRANSPARENCY

Industry-reported general payments

No matching general-payment summary in the imported release. This is not a verified zero and does not rule out other payment types or years.

Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.

Professional details: NPI, taxonomy & registry record
NPI1356328975
Call Directions

Registry details

Primary taxonomy
Diagnostic Radiology (CMS)
Taxonomy code
2085R0202X
Enumeration date
Dec 23, 2005
Record updated
Aug 20, 2026
More registry details
Provider type
Individual · Type 1
Reported credentials
MD

Reported taxonomies and licenses

Specialty details in registry

2085R0202X

License reported: 25IA12454600 NJ

Specialty details in registry

2085R0202X

License reported: 0101287300 VA

Specialty details in registry

2085R0202X

License reported: 305724 LA

Specialty details in registry

2085R0202X

License reported: 042.0007498 VT

Specialty details in registry

2085R0202X

License reported: EL31162 NH

Specialty details in registry

2085R0202X · Primary

License reported: 46969 OK

Specialty details in registry

2085R0202X

License reported: 72052 TN

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

940 Ne 13Th St # 3G3210
Oklahoma City, OK 73104-5008
Phone
(405) 271-5125
Fax
(405) 271-3462
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200

NASHVILLE, TN 372152691
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

Report a directory issue