SUSQUEHANNA HEALTH MEDICAL GROUP
NPI 1639114689
Pain Medicine - Pain Medicine in Williamsport, PA
About Susquehanna Health Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSQUEHANNA HEALTH MEDICAL GROUP (NPI 1639114689) is a healthcare organization registered as a pain medicine in Williamsport, Pennsylvania and active in the NPI registry since June 2006. The organization lists Melissa Davis, Vp/coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Susquehanna Health Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
146Medicare enrollment records show 146 clinicians reassign Medicare billing to Susquehanna Health Medical Group, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 41 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 146Williamsport, PA 17701
Williamsport, PA 17701
Williamsport, PA 17701
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Susquehanna Physician Services's NPI number?
The NPI number for Susquehanna Physician Services is 1639114689. It was assigned to this organization in the NPPES registry on June 16, 2006. The provider is doing business as Susquehanna Health Medical Group.
Where is Susquehanna Physician Services located?
Susquehanna Physician Services is located at 1100 Grampian Blvd, Williamsport, PA 17701. The listed phone number is (570) 326-8457.
What is Susquehanna Physician Services's specialty?
The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.
Is Susquehanna Physician Services enrolled in Medicare?
Yes. Susquehanna Physician Services is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Susquehanna Physician Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 146 clinicians in 5 Medicare specialties reassign their Medicare billing to Susquehanna Physician Services. A 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 the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (94), Anesthesiology (45) and Pain Management (3). Of these, 3 practice at this address and 41 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Susquehanna Physician Services was last updated on April 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Susquehanna Health Medical Group · NPI 1639114689
Pain Medicine organization in Williamsport, Pennsylvania. Organization record, active in the CMS NPPES registry since June 16, 2006.
## Identity
- **NPI:** 1639114689 (Entity type: Organization)
- **Enumerated:** June 16, 2006
- **Primary specialty:** Pain Medicine - Pain Medicine · taxonomy 208VP0000X
- **Legal business name:** Susquehanna Physician Services
- **Organization subpart:** No
- **Authorized official:** Melissa Davis, VP/COO
## Practice location
- **Address:** 1100 GRAMPIAN BLVD, Williamsport, PA 17701-1909
- **Phone:** (570) 326-8457 · **Fax:** (570) 320-7989
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 146 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (94), Anesthesiology (45), Pain Management (3); 3 practice at this address and 41 within 10 miles; [full list](https://npiprofile.com/npi/1639114689/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 27, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1639114689) · Data from the CMS NPPES public registry.