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

Kenneth Richard Nissim, MD

Individual provider Sleep Medicine (Otolaryngology) Physician · NPI 1447246392

Kenneth Richard Nissim, MD is a Sleep Medicine (Otolaryngology) Physician in Rockford, Illinois. Works from 2 locations. Licensed in Florida and Illinois.

Licensed in
FL, IL
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1253 N Alpine Rd
Rockford, IL 61107-2201
Phone: (779) 696-9201
Fax: (815) 397-9667
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8932 Sw 97th Ave, Miami, FL 33176-1936 — (305) 270-3740

Specialties & licences

Plastic Surgery within the Head & Neck (Otolaryngology) Physician (primary) Taxonomy 207YX0007X · Licence 036170811 (IL)
Sleep Medicine (Otolaryngology) Physician Taxonomy 207YS0012X · Licence ME85561 (FL)
Otolaryngology Physician Taxonomy 207Y00000X · Licence ME85561 (FL)

Record details

NPI number1447246392
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 26, 2005
Last updated in NPPESDecember 11, 2024
Certification dateDecember 11, 2024