Individual provider Active NPI

John H Susz, DPM

  • Podiatrist
  • Russell, PA
National Provider Identifier
1790736734
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC005569 Issued in PA
Practice address
1 Timberview LN
Russell, PA 16345-4149
Phone
(814) 757-8204
Fax
(814) 757-7785
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 000629-01 PA
Podiatrist 213E00000X SC005569 PA Primary

Addresses

Primary practice location

1 Timberview LN
Russell, PA 16345-4149

Mailing address

514 Springside Dr
Warren, PA 16365-5301
Phone (814) 331-2583

Other practice location 1

116 E Main St
Westfield, NY 14787-1300
Phone (716) 664-9698

Other practice location 2

305 E Fairmount Ave Unit F
Lakewood, NY 14750-2000
Phone (716) 664-9698

Other identifiers 1

IdentifierTypeStateIssuer
102278875MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060621000246 PA Practitioner - Podiatry 7810922002 Reassigns benefits to 2 organizations
I20120410000231 NY Practitioner - Podiatry 7810922002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John H Susz DPM, PCGroup PAC ID 0345398723, 2 clinicians

Practice addresses (Care Compare)

1 Timberview LN
Russell, PA 16345-4149
Phone (814) 757-8204

116 E Main St
Westfield, NY 14787-1300
Phone (716) 774-9698

305 E Fairmount Ave
Unit F
Lakewood, NY 14750-2000
Phone (716) 664-9698

505 Foote Ave
Jamestown, NY 14701-8204
Phone (716) 664-9698

93 E 4TH St
Dunkirk, NY 14048-2224
Phone (716) 664-9698

Hospital & facility affiliations

  • Willcare Chha (Buffalo) Home health agency, Buffalo, NY, CCN 337268
  • Warren General Hospital Hospital, Warren, PA, CCN 391319
  • Warren General Hospital Hospital, Warren, PA, CCN 390146
  • Upmc Chautauqua at Wca Hospital, Jamestown, NY, CCN 330239

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
90
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue123
Removal of skin lesions12
Removal of nail tissue3327
Removal or shaving of skin growth536
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006269NYMDAcupuncturist
000629-01PAMDFoot & Ankle Surgery Podiatrist
01426MDMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
John H Susz DPM, PC Podiatrist CurrentSince Mar 1, 2009 Accepting new patients
Penn North Centers for Advanced Wound Care PC Foot & Ankle Surgery Past Accepting new patients
Reconstructive Foot & Ankle Institute, LLC Podiatrist Past Accepting new patients
Reconstructive Foot & Ankle Institute, LLC Podiatrist Past Accepting new patients
Rfai Surgery Center Hagerstown Past Accepting new patients

Locations

505 Foote Ave
Jamestown, NY 14701
Phone (716) 483-2285

305 E Fairmount Ave
Unit F
Lakewood, NY 14750
Phone (716) 664-9698

116 E Main St
Westfield, NY 14787
Phone (716) 326-2890

1 Timberview Ln
Russell, PA 16345
Phone (814) 757-5834

Interoperability endpoints

  • Direct secure messaging: drsusz@johnsuszdpm.kareodirect.com

Organizations & group practices 6

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 6

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1790736734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 SPRINGSIDE DR",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163655301",
            "telephone_number": "814-331-2583",
            "fax_number": "814-757-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TIMBERVIEW LN",
            "city": "RUSSELL",
            "state": "PA",
            "postal_code": "163454149",
            "telephone_number": "814-757-8204",
            "fax_number": "814-757-7785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 E Main St",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "NY",
            "postal_code": "147871300",
            "country_code": "US",
            "telephone_number": "716-664-9698",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 E Fairmount Ave Unit F",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NY",
            "postal_code": "147502000",
            "country_code": "US",
            "telephone_number": "716-664-9698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUSZ",
        "first_name": "JOHN",
        "middle_name": "H",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "000629-01",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC005569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102278875",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Russell, PA

Sources for this page

Verify at the official NPI Registry.