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

Dr. Michael A Nissenbaum, MD

Individual provider Diagnostic Radiology Physician · NPI 1356328975

Dr. Michael A Nissenbaum, MD is a Diagnostic Radiology in Nashville, Tennessee. Qualified in 1983, 43 years ago. Practices with Dartmouth-Hitchcock Clinic, a 1,430-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in Louisiana, New Hampshire, New Jersey and Oklahoma and 3 more.

Years since qualifying
43
Licensed in
LA, NH, NJ, OK, TN, VA
In the registry since
2005
Specialties on file
7
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

3601 The Vanderbilt Clinic
Nashville, TN 37232-5349
Phone: (615) 322-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 3600 Minnesota Dr Ste 800, Edina, MN 55435-7915 — (952) 595-1100
  • 1 Medical Center Dr, Lebanon, NH 03756-0001 — (603) 650-5000
  • 700 Ne 13th St, Oklahoma City, OK 73104-5004 — (405) 271-3741
  • 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 — (540) 741-5610
  • 101 Hospital Center Blvd, Stafford, VA 22554-6200 — (540) 741-5610

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 25IA12454600 (NJ)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 72052 (TN)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 305724 (LA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence EL31162 (NH)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 46969 (OK)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 042.0007498 (VT)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 0101287300 (VA)

Record details

NPI number1356328975
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 23, 2005
Last updated in NPPESMarch 6, 2026
Certification dateMarch 6, 2026

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Group practice Dartmouth-Hitchcock Clinic — 1430 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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