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

Dr. Nicholas Lee Nussbaum, MD

Individual provider Family Medicine Physician · NPI 1720107824

Dr. Nicholas Lee Nussbaum, MD is a Family Practice in Fort Wayne, Indiana. Graduated from Indiana University School of Medicine in 2005, 21 years ago. Practices with Parkview Health System Inc, a 1,336-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
21
Trained at
Indiana University School of Medicine
Licensed in
IN
In the registry since
2007
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

1819 Carew St
Fort Wayne, IN 46805-4705
Phone: (260) 373-7770
Fax: (260) 373-7775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 205 Tower Dr, Monroe, IN 46772-9362 — (260) 692-6163

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01063067A (IN)

Record details

NPI number1720107824
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2007
Last updated in NPPESApril 3, 2026
Certification dateApril 3, 2026
Mailing address205 Tower Dr, Monroe, IN 46772-9362

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Parkview Health System Inc — 1336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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