Individual provider Active NPI

Zachary Michael Sussman, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Austin, TX
National Provider Identifier
1295910909
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD2009-0485 Issued in NM
Practice address
3445 Executive Center Dr Ste 250
Austin, TX 78731-1678
Phone
(512) 579-4000
Fax
(512) 439-2814
NPI assigned
Jan 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X N4772 TX
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 000716 GA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD2009-0485 NM Primary

Addresses

Primary practice location

3445 Executive Center Dr Ste 250
Austin, TX 78731-1678

Mailing address

3445 Executive Center Dr Ste 250
Austin, TX 78731-1678
Phone (512) 579-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141212000424 TX Practitioner - Pathology 3779805262 Reassigns benefits to 1 organization
I20200818001526 NM Practitioner - Pathology 3779805262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathology Associates of San Antonio, L.L.P.Group PAC ID 0648252155, 24 clinicians

Practice addresses (Care Compare)

1020 S State Hwy 16
Frederickburg, TX 78624-4471
Phone (830) 990-1555

Hospital & facility affiliations

  • Christus Santa Rosa Hospital-San Marcos Hospital, San Marcos, TX, CCN 450272
  • Christus Santa Rosa Medical Center Hospital, San Antonio, TX, CCN 450237
  • Children'S Hospital of San Antonio Hospital, San Antonio, TX, CCN 453315

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
000716GAMDAnatomic Pathology & Clinical Pathology Physician
N4772TXMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unm Medical Group, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Unm Medical Group Inc CurrentSince Jul 1, 2022 Accepting new patients
Pathology Associates of San Antonio, L.L.P. Anatomic Pathology & Clinical Pathology CurrentSince Apr 5, 2025 Accepting new patients
South Texas Pathology Services PA Anatomic Pathology & Clinical Pathology CurrentSince Oct 5, 2025 Accepting new patients

Locations

933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

1020 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 990-1555

551 Hill Country Dr
Kerrville, TX 78028
Phone (830) 257-5414

600 N Union Ave
New Braunfels, TX 78130
Phone (830) 606-9111

519 W Houston St
Fl 3
San Antonio, TX 78207
Phone (210) 225-3750

9720 Datapoint Dr
San Antonio, TX 78229
Phone (210) 892-3700

9600 Datapoint Dr
San Antonio, TX 78229
Phone (210) 892-3700

1301 Wonder World Dr
San Marcos, TX 78666
Phone (512) 353-8979

Interoperability endpoints

  • Direct secure messaging: zsussman371057@ahs.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1295910909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 EXECUTIVE CENTER DR STE 250",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787311678",
            "telephone_number": "512-579-4000",
            "fax_number": "512-439-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 EXECUTIVE CENTER DR STE 250",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787311678",
            "telephone_number": "512-579-4000",
            "fax_number": "512-439-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSSMAN",
        "first_name": "ZACHARY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-02",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "N4772",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "GA",
            "license": "000716",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NM",
            "license": "MD2009-0485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.