SUSQUEHANNA HEALTH MEDICAL GROUP
NPI 1962446971
Surgery - Vascular Surgery in Williamsport, PA

Active since June 16, 2006
740 HIGH ST, SUITE 3001, WILLIAMSPORT, PA 17701(570) 321-2805(570) 321-2806 Get Directions Write a Review

NPPES record last updated: September 23, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 23, 2022, Feb 1, 2019 (2 updates tracked since 2019).

About Susquehanna Health Medical Group NPPES

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

SUSQUEHANNA HEALTH MEDICAL GROUP (NPI 1962446971) is a healthcare organization registered as a vascular surgery 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

NPI1962446971
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameSUSQUEHANNA PHYSICIAN SERVICES
Location Address740 HIGH ST, SUITE 3001Williamsport, PA 17701-3102
Mailing Address1201 Grampian BlvdWilliamsport, PA 17701-1900
Fax(570) 321-2806
Organization SubpartNo
Authorized OfficialMelissa DavisVp/coo · (570) 320-7696
Enumeration DateJune 16, 2006
Last NPPES UpdateSeptember 23, 20222 updates tracked since enumeration
NPPES CertifiedAugust 14, 2020
✔ NPI 1962446971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
740 HIGH ST, Williamsport, PA 17701

Other Names 1

Doing Business AsSusquehanna Health Medical Group

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

26

Medicare enrollment records show 26 clinicians reassign Medicare billing to Susquehanna Health Medical Group, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 6 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Vascular Surgery13
Interventional Radiology7
Diagnostic Radiology5
General Surgery1

Nearest to this location (20)

See all 26
Vascular Surgery
NPI 1487037065
740 HIGH ST STE 3001
Williamsport, PA 17701
(570) 321-2805
✔ PECOS✔ Accepts MedicareSame address
Vascular Surgery
NPI 1023008117
740 HIGH ST STE 2001
Williamsport, PA 17701
(703) 212-8055
✔ PECOS✔ Accepts MedicareSame address
Interventional Radiology
NPI 1750709259
740 HIGH ST STE 2001 SUITE 2001
Williamsport, PA 17701
(570) 321-2805
✔ PECOS✔ Accepts MedicareSame address
Vascular Surgery
NPI 1235358086
740 HIGH ST STE 2001
Williamsport, PA 17701
(570) 321-2805
✔ PECOS✔ Accepts MedicareSame address
Vascular Surgery
NPI 1255384079
700 HIGH ST
Williamsport, PA 17701
(570) 321-2805
✔ PECOS0.1 mi
Vascular Surgery
NPI 1376500207
1100 GRAMPIAN BLVD
Williamsport, PA 17701
(703) 268-5505
✔ PECOS✔ Accepts Medicare1.9 mi
Diagnostic Radiology
NPI 1649242991
500 UNIVERSITY DR
Hershey, PA 17033
(800) 243-1455
✔ PECOS✔ Accepts Medicare69 mi
Diagnostic Radiology
NPI 1154811198
500 UNIVERSITY DR
Hershey, PA 17033
(800) 243-1455
✔ PECOS✔ Accepts Medicare70 mi
Vascular Surgery
NPI 1346409513
252 S 4TH ST FL 2
Lebanon, PA 17042
(717) 270-3751
✔ PECOS✔ Accepts Medicare70 mi
Interventional Radiology
NPI 1164700225
252 S 4TH ST
Lebanon, PA 17042
(717) 270-7732
✔ PECOS✔ Accepts Medicare75 mi
Vascular Surgery
NPI 1285076158
3509 N BROAD ST
Philadelphia, PA 19140
(215) 707-8484
✔ PECOS✔ Accepts Medicare130 mi
Interventional Radiology
NPI 1639305923
1600 HADDON AVE
Camden, NJ 08103
(856) 757-3500
✔ PECOS✔ Accepts Medicare136 mi
Interventional Radiology
NPI 1316441744
2041 GEORGIA AVE NW
Washington, DC 20059
(202) 865-6100
✔ PECOS✔ Accepts Medicare161 mi
Diagnostic Radiology
NPI 1538485545
200 LOTHROP ST 2ND FLOOR EAST WING SUITE 200
Pittsburgh, PA 15213
(412) 647-5050
✔ PECOS✔ Accepts Medicare164 mi
Interventional Radiology
NPI 1104052430
401 LIBERTY AVE STE 2000
Pittsburgh, PA 15222
(412) 230-8200
✔ PECOS✔ Accepts Medicare166 mi
Vascular Surgery
NPI 1942245386
120 E 2ND ST 4TH FLOOR
Erie, PA 16507
(814) 877-5600
✔ PECOS✔ Accepts Medicare170 mi
Diagnostic Radiology
NPI 1043301047
2438 BRODHEAD RD
Aliquippa, PA 15001
(412) 551-3452
✔ PECOS176 mi
Vascular Surgery
NPI 1710989363
22201 MOROSS RD SUITE 170
Detroit, MI 48236
(586) 247-4300
✔ PECOS✔ Accepts Medicare315 mi
Diagnostic Radiology
NPI 1578903134
1404 CROSS ST
Shiloh, IL 62269
(954) 606-5225
✔ PECOS✔ Accepts Medicare708 mi
General Surgery
NPI 1508220195
200 1ST ST SW
Rochester, MN 55905
(507) 284-2511
✔ PECOS✔ Accepts Medicare809 mi
See all 26 clinicians

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 1962446971. 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 740 High St Suite 3001, Williamsport, PA 17701. The listed phone number is (570) 321-2805.

What is Susquehanna Physician Services's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

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), 26 clinicians in 4 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 Vascular Surgery (13), Interventional Radiology (7) and Diagnostic Radiology (5). Of these, 4 practice at this address and 6 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 September 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.