DR. GEORGE RONEN NISSAN (DO) – Internal Medicine Physician, NPI 1245222033

DR. GEORGE RONEN NISSAN (DO) is a healthcare provider. based in Glenview, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. L0459 (TX). The NPI Number for DR. GEORGE RONEN NISSAN (DO) is 1245222033

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. GEORGE RONEN NISSAN (DO)
NPI
1245222033
Phone
(773) 388-6390
Address
2150 Pfingsten Rd.
Enumeration Date
17 August 2005
Last Update Date
8 August 2025

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Secondary Phone
-
Graduation Year
1999 (27 years ago)
PAC ID
3072649706
Group Practice PAC ID
2163334699
Professional Enrollment ID
I20100621000200
Address ID
IL602011700EV2650XAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Digital endpointsOther names

8,824 INTERNAL MEDICINE in IL

Provider Addresses for DR. GEORGE RONEN NISSAN (DO)

  • 2150 Pfingsten Rd.

    Suite 2260

    Glenview, IL 600261326

    Phone: (773) 388-6390

    Fax: (312) 867-7101

    Type: Location

  • 1460 N HALSTED ST STE 501

    CHICAGO, IL 606422615

    Phone: (773) 388-6390

    Fax: (312) 867-7101

    Type: Location

  • 9101, North Central Expressway, Dallas, TX, Dallas, Dallas County, Texas, 75243, United States

    SUITE 400

    DALLAS, TX 752315927

    Phone: (214) 820-9272

    Fax: (214) 820-9003

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 354 Open Payments records for all available years, with a total value of $67,731.

Total Amount is formed as General ($41,506) + Research ($26,225) + Ownership ($0) = $67,731.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: PFIZER INC. ($26,927).

Total Amount

$67,731

General + Research + Ownership

Payments

354

Total payment records

General Amount

$41,506

General payments

Research Amount

$26,225

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2011-11-11

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100621000200IInternal MedicineILTBD
I20111111000480IInternal MedicineTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes3413$0
99214Established patient office or other outpatient visit, 30-39 minutes3223$0
View full utilization report →

Insurance plans in this area (ZIP 60026)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163334699View full group profile
NameSpecialtyState
-IL
E N D O C R I N O L O G YIL
N E U R O L O G YIL
Hospitalist, Internal MedicineIL
O P H T H A L M O L O G YIL
-IL
E N D O C R I N O L O G YIL
Cardiovascular Disease (Cardiology), Interventional CardiologyIL
Clinical Social WorkerIL
Certified Nurse Midwife (Cnm)IL

Reviews

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Frequently asked questions

Can I verify DR. GEORGE RONEN NISSAN (DO) with an NPI only?
You can start verification with NPI 1245222033 for DR. GEORGE RONEN NISSAN (DO), then check state licensing separately.
Can I rely on DR. GEORGE RONEN NISSAN (DO) being an active provider?
As of the registry snapshot, DR. GEORGE RONEN NISSAN (DO) is marked active.
What is DR. GEORGE RONEN NISSAN (DO)'s specialty?
The listing groups DR. GEORGE RONEN NISSAN (DO) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. GEORGE RONEN NISSAN (DO) on a map?
Expect Glenview, Illinois as a primary anchor for DR. GEORGE RONEN NISSAN (DO) unless the record lists multiple sites.
Why does DR. GEORGE RONEN NISSAN (DO) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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