DR. NIZAR H. SENUSSI (MD) – Gastroenterology Physician, NPI 1174964878
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
474 GASTROENTEROLOGY in WA
Provider Addresses for DR. NIZAR H. SENUSSI (MD)
21600 Highway 99 Ste 260
Edmonds, WA 980268049
Phone: (425) 774-2650
Fax: (425) 774-2643
Type: Location
1 UNIVERSITY OF NEW MEXICO MSC10 5550
ALBUQUERQUE, NM 871310001
Phone: (505) 272-4756
Type: Mailing
1 UNIVERSITY OF NEW MEXICO # 10550
ALBUQUERQUE, NM 871312046
Phone: (505) 272-0407
Fax: (505) 272-0598
Type: Location
875 OAK ST SE STE C3010
SALEM, OR 973013975
Phone: (503) 399-7520
Fax: (033) 627-3445
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $851.
Total Amount is formed as General ($851) + Research ($0) + Ownership ($0) = $851.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: ABBVIE INC. ($255).
Total Amount
$851
General + Research + Ownership
Payments
31
Total payment records
General Amount
$851
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2024-07-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20170712002849 | I | Internal Medicine | WA | TBD |
| I20230328000799 | I | Gastroenterology | NM | TBD |
| I20240722002258 | I | Gastroenterology | OR | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 42 | 42 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 21 | 21 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 14 | 14 | $0 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 11 | 11 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 98026)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Gastroenterology, Internal Medicine | OR | |
| Internal Medicine, Gastroenterology | OR | |
| Physician Assistant | OR | |
| G A S T R O E N T E R O L O G Y | OR | |
| Gastroenterology, Internal Medicine | OR | |
| Physician Assistant | OR | |
| Gastroenterology, Internal Medicine | OR | |
| Physician Assistant | OR | |
| Internal Medicine, Gastroenterology | UT | |
| Physician Assistant | OR |
Reviews
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