Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kenneth Charles Nisch, MD

Individual provider Anesthesiology Physician · NPI 1154556801

Dr. Kenneth Charles Nisch, MD is an Anesthesiology in Mt Kisco, New York. Graduated from Rutgers New Jersey Medical School in 2005, 21 years ago. Practices with North Shore - Lij Anesthesiology, PC, a 1,004-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
21
Trained at
Rutgers New Jersey Medical School
Licensed in
NY
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

118 N Bedford Rd Ste 200
Mt Kisco, NY 10549-2555
Phone: (800) 362-6220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 244447 (NY)

Record details

NPI number1154556801
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 26, 2009
Last updated in NPPESMay 26, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated 2005 (21 years in practice)
Group practice North Shore - Lij Anesthesiology, Pc — 1004 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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