Christian De Souza, DO
Individual provider Active NPI Nephrology Physician · Columbia, MO
NPI 1003490970 · NPPES record last updated Aug 31, 2026
Key facts
- NPI
- 1003490970
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 2024008940 (MO)
- Practice address
- 1 Hospital Dr # Dc043.00
Columbia, MO 65212-1000 - Phone
- (573) 884-8016
- NPI assigned
- May 7, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Macon County Samaritan Hospital
Practice addresses (Care Compare)
1205 N Missouri St
Macon, MO 63552-2095
Phone (660) 385-8700
Hospital & facility affiliations
- Macon County Samaritan Memorial Hospital
- Macon County Samaritan Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250428003288 | MO | Practitioner - Internal Medicine | 6608278429 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024008940 | MO | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Macon County Samaritan Hospital | Current |
Accepting new patients |
Locations
1205 N Missouri St
Macon, MO 63552
Phone (660) 385-3151
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 2024008940 | MO | Yes |
Addresses
Primary practice location
1 Hospital Dr # Dc043.00
Columbia, MO 65212-1000
Mailing address
1 Hospital Dr # Dc043.00
Columbia, MO 65212-1000
Phone (573) 884-8016
Other providers in Columbia, MO
- Margaret Ann Day
- Patricia Lynn Klinger Day
- Victoria Darlene Day
- Suzanne De Chazal
- Roger Anibal De la Torre
- Jon L Deal
- Aubryane Aja Dearmas
- Charles Debiase
- Deborah J Doxsee, PHD LLC
- Kurt Allen Debord
All providers in Columbia, MO · Nephrology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.