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DR. JASON G SOUYIAS DDS
NPI 1205042785
Dentist - Periodontics in Port Huron, MI

Active since May 14, 2007Opted out of Medicare · through Aug 26, 2027
1175 THOMAS EDISON DR, PORT HURON, MI 48060(810) 987-1400(810) 987-1349 Get Directions Write a Review

NPPES record last updated: July 24, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jason G Souyias Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JASON G SOUYIAS DDS (NPI 1205042785) is an individual periodontics provider in Port Huron, Michigan, licensed in Michigan (2901019200) and active in the NPI registry since May 2007. He has opted out of Medicare through August 26, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1205042785
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. JASON G SOUYIASCredential: DDS
Location Address1175 THOMAS EDISON DRPort Huron, MI 48060-8500
Mailing Address1175 Thomas Edison DrPort Huron, MI 48060-8500 · (810) 987-1400 · Fax (810) 987-1349
Phone(810) 987-1400
Fax(810) 987-1349
Sole ProprietorNo
Enumeration DateMay 14, 2007
Last NPPES UpdateJuly 24, 2014
✔ NPI 1205042785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in MI · 2901019200
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

1175 THOMAS EDISON DR, Port Huron, MI 48060
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Jason G Souyias Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 26, 2013 through August 26, 2027.

Opt-Out Effective DateAugust 26, 2013
Opt-Out In Effect ThroughAugust 26, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48060 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRUPA PATEL D.M.D.
Dentist (General Practice)
1175 THOMAS EDISON DR
PORT HURON, MI 48060
St. Clair County (810) 987-1400
PERIDONTIC ASSOCIATES OF PORT HURON PLLC
Dentist (Periodontics)
1175 THOMAS EDISON DR
PORT HURON, MI 48060
St. Clair County (810) 987-1400
PERIODONTIC ASSOCIATES OF PORT HURON
Dentist (Periodontics)
1175 THOMAS EDISON DR
PORT HURON, MI 48060
St. Clair County (810) 987-1400

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 Jason Souyias's NPI number?

The NPI number for Jason Souyias is 1205042785. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Jason Souyias located?

Jason Souyias practices at 1175 Thomas Edison Dr, Port Huron, MI 48060. The listed phone number is (810) 987-1400.

What is Jason Souyias's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Jason Souyias enrolled in Medicare?

No. Jason Souyias has opted out of Medicare through August 26, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jason Souyias was last updated on July 24, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.