MICHAEL THOMAS SOUHRADA
NPI 1205299591
Nurse Anesthetist, Certified Registered in Ephrata, PA

Active since April 04, 2016Accepts Medicare Assignment
169 MARTIN AVE, EPHRATA, PA 17522(717) 738-6618(717) 738-6646 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 26, 2025, Apr 10, 2024, May 6, 2019 (3 updates tracked since 2019).

About Michael Thomas Souhrada NPPES

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

MICHAEL THOMAS SOUHRADA (NPI 1205299591) is an individual nurse anesthetist, certified registered in Ephrata, Pennsylvania, licensed in Pennsylvania (RN599881) and active in the NPI registry since April 2016. He is affiliated with Wellspan York Hospital, maintains 10 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1205299591
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMICHAEL THOMAS SOUHRADA
Location Address169 MARTIN AVEEphrata, PA 17522
Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405 · Fax (717) 851-6969
Fax(717) 738-6646
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 4, 2016
Last NPPES UpdateFebruary 26, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2025
✔ NPI 1205299591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in PA · RN599881
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN599881 (PA)
169 MARTIN AVE, Ephrata, PA 17522

Secondary Practice Locations 10

Location 14150 Barrett Blvd # 100Ephrata, PA 17522-8979 · Phone (717) 859-5160 · Fax (717) 798-3935
Location 21001 S George StYork, PA 17403-3676 · Phone (717) 812-7687 · Fax (717) 851-5250
Location 355 Monument RdYork, PA 17403-5023 · Phone (717) 812-6425 · Fax (717) 851-5250
Location 4252 S 4th StLebanon, PA 17042-6111 · Phone (717) 270-7500 · Fax (717) 228-1642
Location 5835 5th AveunueChambersburg, PA 17201-4220 · Phone (717) 217-4312
Location 6501 E Main StWaynesboro, PA 17268-2353 · Phone (717) 765-3425
Location 735 Erick RdLancaster, PA 17601-3111 · Phone (717) 690-0811
Location 825 Monument Rd Ste 270York, PA 17403-5073 · Phone (717) 741-8250
Location 9112 N 7th StChambersburg, PA 17201-1720 · Phone (717) 267-7164
Location 1012 St Paul Dr Ste 100Chambersburg, PA 17201-1035 · Phone (717) 217-6072

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Thomas Souhrada is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002103512
PECOS Enrollment IDI20160928000016

Medicare Billing Reassignments

3

Medicare enrollment records show Michael Souhrada reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pulmonary Disease
175 MARTIN AVE STE 320
Ephrata, PA 17522
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,080 clinicians in this Medicare group
Orthopaedic Surgery
170 N POINTE BLVD
Lancaster, PA 17601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 96 clinicians in this Medicare group
Orthopaedic Surgery
231 GRANITE RUN DR
Lancaster, PA 17601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 66 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellspan York Hospital

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390046
Location1001 South George StreetYork, PA 17403 · York County
Emergency services Birthing friendly

Wellspan Ephrata Community Hospital

Acute Care Hospitals · Ephrata, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390225
Location169 Martin AvenueEphrata, PA 17522 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17522 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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 20

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

Radiology (Diagnostic Radiology)
169 MARTIN AVE
EPHRATA, PA 17522
Nurse Anesthetist, Certified Registered
169 MARTIN AVE
EPHRATA, PA 17522
Hospitalist
169 MARTIN AVE
EPHRATA, PA 17522
Speech-Language Pathologist
169 MARTIN AVE
EPHRATA, PA 17522
Emergency Medicine
169 MARTIN AVE
EPHRATA, PA 17522
Student in an Organized Health Care Education/Training Program
169 MARTIN AVE
EPHRATA, PA 17522
Nurse Practitioner (Family)
169 MARTIN AVE
EPHRATA, PA 17522
Psychiatry & Neurology (Psychiatry)
169 MARTIN AVE
EPHRATA, PA 17522

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 Michael Souhrada's NPI number?

The NPI number for Michael Souhrada is 1205299591. It was assigned to this individual provider in the NPPES registry on April 4, 2016.

Where is Michael Souhrada located?

Michael Souhrada practices at 169 Martin Ave, Ephrata, PA 17522. The listed phone number is (717) 738-6618.

What is Michael Souhrada's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Michael Souhrada enrolled in Medicare?

Yes. Michael Souhrada is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Michael Souhrada's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Souhrada reassigns Medicare benefits to 3 organizations: Wellspan Medical Group (Ephrata, PA), Orthopedic Assoc Of Lancaster Ltd (Lancaster, PA) and Lancaster Orthopedic Group, Inc. (Lancaster, PA). Each 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 Michael Souhrada's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Michael Souhrada affiliated with any hospitals?

According to CMS data, Michael Souhrada is affiliated with Wellspan York Hospital and Wellspan Ephrata Community Hospital.

When was this NPI record last updated?

The NPPES record for Michael Souhrada was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.