1. Home
  2. Directory
  3. Ohio
  4. Wright Patterson Afb
  5. Radiology
  6. NPI Profile

NICHOLAS SOUSARIS MD
NPI 1417367285
Radiology - Diagnostic Radiology in Wright Patterson Afb, OH

Active since May 02, 2014PECOS EnrolledAccepts Medicare Assignment
83.77/100
CMS Quality Rating
4881 SUGAR MAPLE DR BLDG 830, WRIGHT PATTERSON AFB, OH 45433(937) 257-0837 Get Directions Write a Review

NPPES record last updated: July 23, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicholas Sousaris Md NPPES

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

NICHOLAS SOUSARIS MD (NPI 1417367285) is an individual diagnostic radiology provider in Wright Patterson Afb, Ohio, licensed in Indiana (01082210A) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Aultman Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1417367285
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameNICHOLAS SOUSARISCredential: MD
Location Address4881 SUGAR MAPLE DR BLDG 830Wright Patterson Afb, OH 45433-5529
Mailing Address4881 Sugar Maple Dr Bldg 830Wright Patterson Afb, OH 45433-5529
Phone(937) 257-0837
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 2, 2014
Last NPPES UpdateJuly 23, 2019
✔ NPI 1417367285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in IN · 01082210A
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
4881 SUGAR MAPLE DR BLDG 830, Wright Patterson Afb, OH 45433
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicholas Sousaris Md 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 ID446476006
PECOS Enrollment IDI20200319001015
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.

Hospital Affiliations CMS Care Compare 3

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

Aultman Hospital

Acute Care Hospitals · Canton, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360084
Location2600 Sixth Street SWCanton, OH 44710 · Stark County
Emergency services Birthing friendly

Alliance Community Hospital

Acute Care Hospitals · Alliance, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360131
Location200 East State StreetAlliance, OH 44601 · Stark County
Emergency services

Southwest General Health Center

Acute Care Hospitals · Middleburg Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360155
Location18697 Bagley RoadMiddleburg Heights, OH 44130 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45433 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.91
Improvement Activities40

Other Providers at the Same Location NPPES 16

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

DR. MATTHEW RAY DOUBRAVA M.D.
General Practice
4881 SUGAR MAPLE DR BLDG 830
WRIGHT PATTERSON AFB, OH 45433
Greene County (379) 383-9159
DR. RICHARD WOOD D.O.
Emergency Medicine
4881 SUGAR MAPLE DR BLDG 830
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-8718
CALVIN WILLIAMS
Physician Assistant
4881 SUGAR MAPLE DR BLDG 830
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-0837
MRS. DENISE A LOCKHART R.D.
Dietitian, Registered
4881 SUGAR MAPLE DR BLDG 830
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-8815
BEVERLEY SUE KNIGHT-STUKENBORG
Social Worker
4881 SUGAR MAPLE DR BLDG 830
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-5146
JACOB CHAMBERLAIN DO
Radiology (Diagnostic Radiology)
4881 SUGAR MAPLE DR BLDG 830
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-0837
JAMES LUKE WEINSTEIN RD
Dietitian, Registered
4881 SUGAR MAPLE DR BLDG 830
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-9069
CAYLIN ELIZABETH RILEY DO
Pediatrics
4881 SUGAR MAPLE DR BLDG 830
WPAFB, OH 45433
Greene County (937) 522-4784

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 Sousaris's NPI number?

The NPI number for Nicholas Sousaris is 1417367285. It was assigned to this individual provider in the NPPES registry on May 2, 2014.

Where is Nicholas Sousaris located?

Nicholas Sousaris practices at 4881 Sugar Maple Dr Bldg 830, Wright Patterson Afb, OH 45433. The listed phone number is (937) 257-0837.

What is Nicholas Sousaris's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Nicholas Sousaris enrolled in Medicare?

Yes. Nicholas Sousaris 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.

What insurance does Nicholas Sousaris accept?

Health plans from CareSource list Nicholas Sousaris 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.

Is Nicholas Sousaris affiliated with any hospitals?

According to CMS data, Nicholas Sousaris is affiliated with Aultman Hospital, Alliance Community Hospital and Southwest General Health Center.

When was this NPI record last updated?

The NPPES record for Nicholas Sousaris was last updated on July 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.