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DR. NICHOLAS CHRISTOPHER KUZMA M.D.
NPI 1407176654
Pediatrics in Philadelphia, PA

Active since June 09, 2010PECOS Enrolled
160 E ERIE AVENUE, PHILADELPHIA, PA 19134(215) 427-5369 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Nicholas Christopher Kuzma M.d. NPPES

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

DR. NICHOLAS CHRISTOPHER KUZMA M.D. (NPI 1407176654) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT196951) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407176654
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. NICHOLAS CHRISTOPHER KUZMACredential: M.D.
Location Address160 E ERIE AVENUEPhiladelphia, PA 19134-1011
Mailing AddressPo Box 13579Reading, PA 19612-3579 · (484) 628-1324
Phone(215) 427-5369
Sole ProprietorNo
Enumeration DateJune 9, 2010
Last NPPES UpdateNovember 10, 2022
NPPES CertifiedNovember 10, 2022
✔ NPI 1407176654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · MT196951
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.
160 E ERIE AVENUE, Philadelphia, PA 19134
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicholas Christopher Kuzma M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Nicholas Kuzma reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stc Pediatrics LLC
0.2 mi
Pediatrics
3645 N FRONT ST
Philadelphia, PA 19134
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 479 clinicians in this Medicare group
NPI 1346884574 (215) 427-5000

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 19134 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 2

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

STC PEDIATRICS LLC
Pediatrics
160 E ERIE AVENUE
PHILADELPHIA, PA 19134
Philadelphia County No phone listed
BOBAN ABRAHAM MD
Pediatrics (Pediatric Cardiology)
160 E ERIE AVENUE
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-5000

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 Nicholas Kuzma's NPI number?

The NPI number for Nicholas Kuzma is 1407176654. It was assigned to this individual provider in the NPPES registry on June 9, 2010.

Where is Nicholas Kuzma located?

Nicholas Kuzma practices at 160 E Erie Avenue, Philadelphia, PA 19134. The listed phone number is (215) 427-5369.

What is Nicholas Kuzma's specialty?

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

Is Nicholas Kuzma enrolled in Medicare?

Yes. Nicholas Kuzma is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicholas Kuzma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Kuzma reassigns Medicare benefits to Stc Pediatrics LLC (Philadelphia, PA). 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 Nicholas Kuzma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Kuzma accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Nicholas Kuzma 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 Nicholas Kuzma was last updated on November 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.