DR. SUSANNAH E. NICHOLSON MD
NPI 1679758718
Surgery in San Antonio, TX
About Dr. Susannah E. Nicholson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SUSANNAH E. NICHOLSON MD (NPI 1679758718) is an individual surgery provider in San Antonio, Texas, licensed in Texas (P6688) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS, is affiliated with Peterson Regional Medical Center, and is a graduate of University Of Texas Medical School At San Antonio (2005).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
Accepted Insurance
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
Dr. Susannah E. Nicholson 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.
Medicare Billing Reassignment
Medicare enrollment records show Susannah Nicholson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Antonio, TX 78229
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: University Of Texas Health Science Center At San Antonio
- 2,397 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Peterson Regional Medical Center
Acute Care Hospitals · Kerrville, TXUniversity Health System
Acute Care Hospitals · San Antonio, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78229 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAN ANTONIO, TX 78229
SAN ANTONIO, TX 78229
SAN ANTONIO, TX 78229
SAN ANTONIO, TX 78229
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 Susannah Nicholson's NPI number?
The NPI number for Susannah Nicholson is 1679758718. It was assigned to this individual provider in the NPPES registry on January 8, 2008.
Where is Susannah Nicholson located?
Susannah Nicholson practices at 4502 Medical Dr, San Antonio, TX 78229. The listed phone number is (210) 358-2015.
What is Susannah Nicholson's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Susannah Nicholson enrolled in Medicare?
Yes. Susannah Nicholson 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 organization bills Medicare for Susannah Nicholson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susannah Nicholson reassigns Medicare benefits to Uthscsa Dental School (San Antonio, 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 Susannah Nicholson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Susannah Nicholson accept?
Health plans from Blue Cross and Blue Shield of Texas, Community First and Imperial Insurance Companies, Inc. list Susannah Nicholson 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 Susannah Nicholson affiliated with any hospitals?
According to CMS data, Susannah Nicholson is affiliated with Peterson Regional Medical Center and University Health System.
When was this NPI record last updated?
The NPPES record for Susannah Nicholson was last updated on November 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dr. Susannah E. Nicholson, MD · NPI 1679758718
Surgery physician in San Antonio, Texas. Individual provider, active in the CMS NPPES registry since January 8, 2008.
## Identity
- **NPI:** 1679758718 (Entity type: Individual)
- **Enumerated:** January 8, 2008
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** P6688 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4502 MEDICAL DR, San Antonio, TX 78229-4402
- **Phone:** (210) 358-2015
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Uthscsa Dental School (NPI 1750403887, San Antonio, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas Medical School At San Antonio, class of 2005
## Record status
- **NPPES last updated:** November 26, 2013
- **Other identifiers:** Medicare PIN 298419YK00 (TX); Other 322089902 (TX); Medicaid 322089901 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1679758718) · Data from the CMS NPPES public registry.