Susquehanna Physician Services
NPI 1477793172 · Nephrology Physician · Williamsport, PA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Susquehanna Physician Services is a Nephrology Physician organization in Williamsport, PA (NPI 1477793172).
Provider details
- NPI number
- 1477793172
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Melissa Davis, Vp/Coo(570) 320-7696
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-02-20
- Last updated
- 2020-04-24
- Certified
- 2020-04-24
Frequently asked questions
- What is Susquehanna Physician Services's NPI number?
- Susquehanna Physician Services's National Provider Identifier (NPI) is 1477793172, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Susquehanna Physician Services?
- Susquehanna Physician Services is classified in the NPPES registry as Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Susquehanna Physician Services located?
- Susquehanna Physician Services's practice location on file with NPPES is 1201 Grampian Blvd Ste 1a, Williamsport, PA 17701-1965.
- What is Susquehanna Physician Services's phone number?
- The practice phone number listed in the NPPES registry for Susquehanna Physician Services is (570) 326-8080.
- Does Susquehanna Physician Services accept Medicare?
- Susquehanna Physician Services is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Susquehanna Physician Services?
- The authorized official listed on Susquehanna Physician Services's NPPES record is Melissa Davis, Vp/Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Susquehanna Physician Services's NPI active?
- Yes — Susquehanna Physician Services's NPI (1477793172) is active in the NPPES registry as of the last update on 2020-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.