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DR. THOMAS STAVRO SOUSSOU MD
NPI 1942839741
Orthopaedic Surgery - Sports Medicine in New York, NY

Active since April 03, 2020PECOS Enrolled
159 E 74TH ST, NEW YORK, NY 10021(212) 737-3301(212) 734-0407 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 8, 2026, Apr 3, 2020 (2 updates tracked since 2020).

About Dr. Thomas Stavro Soussou Md NPPES

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

DR. THOMAS STAVRO SOUSSOU MD (NPI 1942839741) is an individual sports medicine provider in New York, New York, licensed in New York (335826) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1942839741
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. THOMAS STAVRO SOUSSOUCredential: MD
Location Address159 E 74TH STNew York, NY 10021-3235
Mailing Address159 E 74th StNew York, NY 10021-3235 · (212) 737-3301 · Fax (212) 734-0407
Phone(212) 737-3301
Fax(212) 734-0407
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 3, 2020
Last NPPES UpdateJuly 8, 20262 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1942839741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
Licenses✔ Licensed in NY · 335826✔ Licensed in NJ · 25MA12624900
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
159 E 74TH ST, New York, NY 10021
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas Stavro Soussou Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769941707
PECOS Enrollment IDI20260828003925
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 Thomas Soussou reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stephen J Nicholas MD PC
Same address
Orthopaedic Surgery
159 E 74TH ST FL 2
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • 22 clinicians in this Medicare group
NPI 1316933872 (212) 737-3301

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MS. HANNAH KIM
Physician Assistant
159 E 74TH ST
NEW YORK, NY 10021
New York County (212) 737-3301
MIKAYLA O'BRIEN PA
Physician Assistant
159 E 74TH ST
NEW YORK, NY 10021
New York County (212) 737-3301
KAYLEE NICOLE TURMAN PA
Physician Assistant
159 E 74TH ST
NEW YORK, NY 10021
New York County (212) 737-3301
GAVIN MATTHEW SILVER PT
Physical Therapist
159 E 74TH ST, 1 FLOOR
NEW YORK, NY 10021
New York County (212) 737-3301
BENJAMIN BEDFORD MD
Orthopaedic Surgery
159 E 74TH ST
NEW YORK, NY 10021
New York County (212) 737-3301
STEPHEN J NICHOLAS MD PC
Orthopaedic Surgery
159 E 74TH ST
NEW YORK, NY 10021
New York County (212) 737-3301
MATTHEW SAMUEL JOAQUIN MENDEZ-ZFASS M.D
Orthopaedic Surgery (Sports Medicine)
159 E 74TH ST
NEW YORK, NY 10021
New York County (212) 737-3301
KAILEEN ELIZABETH MURRAY
Physician Assistant
159 E 74TH ST
NEW YORK, NY 10021
New York County (212) 737-3301

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 Thomas Soussou's NPI number?

The NPI number for Thomas Soussou is 1942839741. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Where is Thomas Soussou located?

Thomas Soussou practices at 159 E 74th St, New York, NY 10021. The listed phone number is (212) 737-3301.

What is Thomas Soussou's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Thomas Soussou enrolled in Medicare?

Yes. Thomas Soussou is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Thomas Soussou's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Soussou reassigns Medicare benefits to Stephen J Nicholas MD PC (New York, NY). 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 Thomas Soussou's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Thomas Soussou was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.