Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicholas Sousaris, MD

Individual provider Diagnostic Radiology Physician · NPI 1417367285

Nicholas Sousaris, MD is a Diagnostic Radiology in Wright Patterson AFB, Ohio. Qualified in 2014, 12 years ago. Practices with Columbus Radiology Corp, a 289-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
12
Licensed in
IN
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4881 Sugar Maple Dr Bldg 830
Wright Patterson AFB, OH 45433-5529
Phone: (937) 257-0837
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 01082210A (IN)

Record details

NPI number1417367285
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 2, 2014
Last updated in NPPESJuly 23, 2019
Mailing address4881 Sugar Maple Dr Bldg 830, Wright Patterson Afb, OH 45433-5529

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Columbus Radiology Corp — 289 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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