STEVEN L. NUSSBAUM (D.O.) – General Practice Physician, NPI 1013987288
General Practice Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,179 EMERGENCY MEDICINE in AZ
Provider Addresses for STEVEN L. NUSSBAUM (D.O.)
2550 N Thunderbird Cir Ste 303
Mesa, AZ 852151219
Phone: (918) 808-2581
Type: Location
3280 Washtenaw Ave
Ann Arbor, MI 481044283
Phone: (734) 389-2000
Type: Location
Riverside Parkway, Kensington, Tulsa, Tulsa County, Oklahoma, 74137, United States
SUITE 100
TULSA, OK 741377447
Phone: (918) 299-4333
Fax: (918) 299-4330
Type: Mailing
9716, Riverside Parkway, Tulsa, Oklahoma, 74137, United States
SUITE 100
TULSA, OK 74137
Phone: (918) 299-4333
Fax: (918) 299-4330
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-03-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060207000161 | I | Emergency Medicine | OK | TBD |
| I20180302002249 | I | Emergency Medicine | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 85215)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OK | |
| Physician Assistant | OK |
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