SUSQUEHANNA HEALTH MEDICAL GROUP
NPI 1992722524
Preventive Medicine - Undersea and Hyperbaric Medicine in Williamsport, PA

Active since July 17, 2006
1100 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701(570) 326-8550(570) 326-8551 Get Directions Write a Review

NPPES record last updated: September 28, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Susquehanna Health Medical Group NPPES

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

SUSQUEHANNA HEALTH MEDICAL GROUP (NPI 1992722524) is a healthcare organization registered as an undersea and hyperbaric medicine in Williamsport, Pennsylvania and active in the NPI registry since July 2006. The organization lists Melissa Davis, Vp/coo, as its authorized official.

NPPES Registry Identity

NPI1992722524
Entity TypeOrganization
Primary Taxonomy2083P0011X
Legal Business NameSUSQUEHANNA PHYSICIAN SERVICES
Location Address1100 GRAMPIAN BLVDWilliamsport, PA 17701-1909
Mailing Address1201 Grampian BlvdWilliamsport, PA 17701-1900
Fax(570) 326-8551
Organization SubpartNo
Authorized OfficialMelissa DavisVp/coo · (570) 320-7696
Enumeration DateJuly 17, 2006
Last NPPES UpdateSeptember 28, 2015
✔ NPI 1992722524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPreventive Medicine · Undersea and Hyperbaric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0011X
Definition
A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
1100 GRAMPIAN BLVD, Williamsport, PA 17701

Other Names 1

Doing Business AsSusquehanna Health Medical Group

Other Identifiers 3

Other1580634PA · Highmark Blue Shield
Medicaid0017300760199PA
Medicare PINCC0890PA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Susquehanna Health Medical Group, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Vascular Surgery
NPI 1376500207
1100 GRAMPIAN BLVD
Williamsport, PA 17701
(703) 268-5505
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1285153957
1100 GRAMPIAN BLVD
Williamsport, PA 17701
(570) 326-8550
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1265746721
1201 GRAMPIAN BLVD STE 2F
Williamsport, PA 17701
(570) 321-2020
✔ PECOS✔ Accepts Medicare0.1 mi
Podiatry
NPI 1558981001
1201 GRAMPIAN BLVD STE 2F
Williamsport, PA 17701
(570) 321-2020
✔ PECOS✔ Accepts Medicare0.1 mi
Podiatry
NPI 1487649299
1201 GRAMPIAN BLVD STE 2F
Williamsport, PA 17701
(570) 321-2020
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1356318497
740 HIGH ST SUITE 1003
Williamsport, PA 17701
(570) 321-3160
✔ PECOS✔ Accepts Medicare1.9 mi
Podiatry
NPI 1396193215
1001 E 2ND ST
Coudersport, PA 16915
(814) 274-9300
✔ PECOS✔ Accepts Medicare63 mi
Podiatry
NPI 1013228857
303 W BROAD ST
Bethlehem, PA 18018
(484) 526-5585
✔ PECOS✔ Accepts Medicare95 mi

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 1992722524. It was assigned to this organization in the NPPES registry on July 17, 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) 326-8550.

What is Susquehanna Physician Services's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Undersea and Hyperbaric Medicine, with taxonomy code 2083P0011X.

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), 8 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 Podiatry (5), General Surgery (1) and Nurse Practitioner (1). Of these, 2 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 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.