SUZANNE COLES
NPI 1225779754
Pediatrics in Austin, TX

Active since April 06, 2022PECOS Enrolled
4900 MUELLER BLVD STE 3K.032, AUSTIN, TX 78723(512) 324-0067 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Suzanne Coles NPPES

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

SUZANNE COLES (NPI 1225779754) is an individual pediatrics provider in Austin, Texas, licensed in Texas (BP10078863) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At Houston (2022).

NPPES Registry Identity

NPI1225779754
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSUZANNE COLES
Location Address4900 MUELLER BLVD STE 3K.032Austin, TX 78723-3051
Mailing Address4900 Mueller Blvd Ste 3k.032Austin, TX 78723-3051 · (512) 324-0067
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2022
Enumeration DateApril 6, 2022
NPPES CertifiedApril 6, 2022
✔ NPI 1225779754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · BP10078863
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4900 MUELLER BLVD STE 3K.032, Austin, TX 78723

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Suzanne Coles is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860830957
PECOS Enrollment IDI20251028001162
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Suzanne Coles reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emergency Medicine
1201 W 38TH ST
Austin, TX 78705
  • Reassigned Medicare billing, Texas enrollment
  • 1,511 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78723 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
Most-billed visit code 99214
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 11

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

Pediatrics
4900 MUELLER BLVD STE 3K.032
AUSTIN, TX 78723
Pediatrics
4900 MUELLER BLVD STE 3K.032
AUSTIN, TX 78723
Pediatrics
4900 MUELLER BLVD STE 3K.032
AUSTIN, TX 78723
Pediatrics
4900 MUELLER BLVD STE 3K.032
AUSTIN, TX 78723
Pediatrics
4900 MUELLER BLVD STE 3K.032
AUSTIN, TX 78723
Pediatrics
4900 MUELLER BLVD STE 3K.032
AUSTIN, TX 78723
Pediatrics
4900 MUELLER BLVD STE 3K.032
AUSTIN, TX 78723
Pediatrics
4900 MUELLER BLVD STE 3K.032
AUSTIN, TX 78723

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 Suzanne Coles's NPI number?

The NPI number for Suzanne Coles is 1225779754. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Where is Suzanne Coles located?

Suzanne Coles practices at 4900 Mueller Blvd Ste 3k.032, Austin, TX 78723. The listed phone number is (512) 324-0067.

What is Suzanne Coles's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Suzanne Coles enrolled in Medicare?

Yes. Suzanne Coles is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Suzanne Coles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suzanne Coles reassigns Medicare benefits to Travis County Emergency Physicians PA (Austin, TX). The 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 Suzanne Coles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Suzanne Coles accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Suzanne Coles as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Suzanne Coles was last updated on April 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.