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Deactivated NPI 1114047446 Deactivated / Inactive NPI Male Practitioner

Dr. Nickolas N Soumelidis , MD

Internal Medicine • Fall River, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Nickolas Soumelidis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 30, 2007
NPI Deactivation Date April 03, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Nickolas Soumelidis, MD was a registered Internal Medicine practicing in Fall River, MA. Throughout an active medical career spanning 18 years, Dr. Soumelidis provided care at the practice location at 363 HIGHLAND AVE until profile deactivation on 2025-04-03.

Historical Medicare Part B clinical services included subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, established patient assisted living visit, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

363 Highland Ave
Southcoast Inpatient Physician Services

Fall River, MA 027203703

Telephone 5086797824
Fax 5086797826
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Fall River, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.4 Yrs
State Avg: 29.3 Yrs
Regional Practice Density
68 Specialists

Practicing in Fall River, MA (7127 Statewide)

Telehealth Adoption Rate
41.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
28.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
175 66 $130.82 $95.05
99336 Established patient assisted living visit, typically 40 minutes
89 57 $195.40 $140.91
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
89 41 $100.18 $71.47
99335 Established patient assisted living visit, typically 25 minutes
72 47 $140.00 $98.71
99306 Initial nursing facility visit, typically 45 minutes per day
18 18 $242.00 $172.66

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 232273

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Ellen Sousa , RD

Dietitian, Registered

NPI 1003043258

Registered Dietitian

Erin Dacey , NP

Nurse Practitioner - Critical Care Medicine

NPI 1003246190

Nurse Practitioner

Alicia Larock , FNP-C

Nurse Practitioner

NPI 1003633892

Family Nurse Practitioner (Certified)

NPI 1003863739

Doctor of Medicine (M.D.)

Jessica Simeone , PA-C

Physician Assistant

NPI 1013373794

Physician Assistant (Certified)

Jessica Shippee

Nurse Practitioner - Acute Care

NPI 1013440973

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
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NPI Profile Deactivated April 03, 2025

Record deactivated on April 03, 2025

NPI Profile Active July 25, 2017

NPI status registered as active in NPPES database

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Updated Practice Location July 25, 2017

Registered at 3027 LANDOVER BLVD, SPRING HILL, FL 346087260 (Tel: 3526889558)

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Updated Business Mailing Address July 25, 2017

Registered at 7562 W.GULF TO LAKE HWY, CHRIST MEDICAL CENTER, CRYSTAL RIVER, FL 34429 (Tel: (352) 688-9558)

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Provider Name / Credentials Updated July 25, 2017

Recorded as NICKOLAS SOUMELIDIS, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2017

Internal Medicine (License #ME103560 in FL)

NPI Profile Active June 30, 2010

NPI status registered as active in NPPES database

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Updated Practice Location June 30, 2010

Registered at 363 HIGHLAND AVE, SOUTHCOAST INPATIENT PHYSICIAN SERVICES, FALL RIVER, MA 027203703 (Tel: 5086797824)

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Updated Business Mailing Address June 30, 2010

Registered at 363 HIGHLAND AVE, SOUTHCOAST INPATIENT PHYSICIAN SERVICES, FALL RIVER, MA 027203703 (Tel: 5086797824)

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Provider Name / Credentials Updated June 30, 2010

Recorded as NICKOLAS SOUMELIDIS, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2010

Internal Medicine (License #232273 in MA)

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Initial NPI Registration & Enumeration March 30, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114047446
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 30, 2007
Last Update: June 30, 2010
Deactivation Date: April 03, 2025

Mailing Address

363 Highland Ave, Southcoast Inpatient Physician Services

Fall River, MA 027203703

Phone: 5086797824

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.