SUSQUEHANNA HEALTH MEDICAL GROUP
NPI 1184652133
Internal Medicine - Endocrinology, Diabetes & Metabolism in Williamsport, PA
About Susquehanna Health Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSQUEHANNA HEALTH MEDICAL GROUP (NPI 1184652133) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Williamsport, Pennsylvania and active in the NPI registry since June 2006. The organization lists Melissa Davis, Vp/coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Susquehanna Health Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
24Medicare enrollment records show 24 clinicians reassign Medicare billing to Susquehanna Health Medical Group, which bills Medicare for the services they deliver. Of these, 2 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 24Pittsburgh, PA 15213
Pittsburgh, PA 15213
Pittsburgh, PA 15213
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Susquehanna Physician Services's NPI number?
The NPI number for Susquehanna Physician Services is 1184652133. It was assigned to this organization in the NPPES registry on June 29, 2006. The provider is doing business as Susquehanna Health Medical Group.
Where is Susquehanna Physician Services located?
Susquehanna Physician Services is located at 1100 Grampian Blvd, Williamsport, PA 17701. The listed phone number is (570) 320-7848.
What is Susquehanna Physician Services's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.
Is Susquehanna Physician Services enrolled in Medicare?
Yes. Susquehanna Physician Services is registered in the Medicare PECOS enrollment system.
When is Susquehanna Physician Services's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Pennsylvania, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Susquehanna Physician Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians in 3 Medicare specialties reassign their Medicare billing to Susquehanna Physician Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Endocrinology (18), Internal Medicine (4) and Nurse Practitioner (2). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Susquehanna Physician Services was last updated on October 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Susquehanna Health Medical Group · NPI 1184652133
Endocrinology, Diabetes & Metabolism organization in Williamsport, Pennsylvania. Organization record, active in the CMS NPPES registry since June 29, 2006.
## Identity
- **NPI:** 1184652133 (Entity type: Organization)
- **Enumerated:** June 29, 2006
- **Primary specialty:** Internal Medicine - Endocrinology, Diabetes & Metabolism · taxonomy 207RE0101X
- **Legal business name:** Susquehanna Physician Services
- **Organization subpart:** No
- **Authorized official:** Melissa Davis, VP/COO
## Practice location
- **Address:** 1100 GRAMPIAN BLVD, Williamsport, PA 17701-1909
- **Phone:** (570) 320-7848 · **Fax:** (570) 320-7856
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Pennsylvania, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 24 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Endocrinology (18), Internal Medicine (4), Nurse Practitioner (2); 2 practice at this address; [full list](https://npiprofile.com/npi/1184652133/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 20, 2015
- **Other identifiers:** Medicare PIN CC0890 (PA); Other 880543 (PA); Medicaid 0017300760191 (PA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1184652133) · Data from the CMS NPPES public registry.