SUSANNE BERNADETTE NICHOLAS MD
NPI 1972523512
Internal Medicine - Nephrology in Los Angeles, CA

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
200 MEDICAL PLAZA, #365,530,420,120, LOS ANGELES, CA 90095(310) 825-6301 Get Directions Write a Review

NPPES record last updated: July 13, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susanne Bernadette Nicholas Md NPPES

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

SUSANNE BERNADETTE NICHOLAS MD (NPI 1972523512) is an individual nephrology provider in Los Angeles, California, licensed in California (G70174) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (1989).

NPPES Registry Identity

NPI1972523512
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameSUSANNE BERNADETTE NICHOLASCredential: MD
Location Address200 MEDICAL PLAZA, #365,530,420,120Los Angeles, CA 90095
Mailing Address5767 W Century Blvd, Suite 200Los Angeles, CA 90045-5632 · (310) 794-7555
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 1989
Enumeration DateJuly 19, 2006
Last NPPES UpdateJuly 13, 2010
NPI 1972523512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in CA · G70174
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

200 MEDICAL PLAZA, Los Angeles, CA 90095

Other Identifiers 3

Medicare UPING72346CA
Medicaid00G701740CA
Medicare PINWG70174ACA

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

Susanne Bernadette Nicholas 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 ID4486833852
PECOS Enrollment IDI20110201000444
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
48 services27 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
33 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Internal Medicine (Nephrology)
200 MEDICAL PLAZA, #365,420,120,530
LOS ANGELES, CA 90095
Internal Medicine
200 MEDICAL PLAZA, #365,530,420,120
LOS ANGELES, CA 90095
Internal Medicine
200 MEDICAL PLAZA, #214,365,530,420,120
LOS ANGELES, CA 90095
Plastic Surgery
200 MEDICAL PLAZA, #465
LOS ANGELES, CA 90095
Internal Medicine (Rheumatology)
200 MEDICAL PLAZA, #365,530,420,120
LOS ANGELES, CA 90095
Otolaryngology
200 MEDICAL PLAZA, #550
LOS ANGELES, CA 90095
Internal Medicine (Nephrology)
200 MEDICAL PLAZA, #365,530,420,120
LOS ANGELES, CA 90095
Internal Medicine (Allergy & Immunology)
200 MEDICAL PLAZA, #365,530,420,120
LOS ANGELES, CA 90095

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 Susanne Nicholas's NPI number?

The NPI number for Susanne Nicholas is 1972523512. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Susanne Nicholas located?

Susanne Nicholas practices at 200 Medical Plaza #365,530,420,120, Los Angeles, CA 90095. The listed phone number is (310) 825-6301.

What is Susanne Nicholas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Susanne Nicholas enrolled in Medicare?

Yes. Susanne Nicholas 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.

When was this NPI record last updated?

The NPPES record for Susanne Nicholas was last updated on July 13, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.