NPIMap

Individual provider Active NPI

Christopher Francis D'Souza, M.D.

  • Internal Medicine Physician
  • Cheshire, CT
National Provider Identifier
1013379619
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
62271 Issued in CT
Practice address
677 S Main St Ste 1
Cheshire, CT 06410-3162
Phone
(203) 272-7251
Fax
(203) 272-2552
NPI assigned
Mar 22, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 06-0646844 CT
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 62271 CT Primary

Addresses

Primary practice location

677 S Main St Ste 1
Cheshire, CT 06410-3162

Mailing address

677 S Main St Ste 2
Cheshire, CT 06410-3162
Phone (203) 272-7251

Other practice location 1

56 Franklin St
Waterbury, CT 06706-1253
Phone (203) 709-6000

Other identifiers 1

IdentifierTypeStateIssuer
1013379619MedicaidCT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200117000641 CT Practitioner - Internal Medicine 8022303908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

677 S Main St
Cheshire, CT 06410-3158
Phone (203) 272-2248

Hospital & facility affiliations

  • Hartford Healthcare at Home Home health agency, East Hartford, CT, CCN 077041
  • Yale New Haven Health - Health at Home Home health agency, Milford, CT, CCN 077143
  • Franciscan Home Care and Hospice Care Home health agency, Meriden, CT, CCN 077173
  • Elara Caring Home health agency, Rocky Hill, CT, CCN 077163
  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022
  • Griffin Hospital Hospital, Derby, CT, CCN 070031
  • Gaylord Hospital Inc Long-term care hospital, Wallingford, CT, CCN 072003

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
06-0646844CTMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. Single Specialty CurrentSince Sep 22, 2019 Accepting new patients

Locations

677 S Main St
Cheshire, CT 06410
Phone (203) 250-7577

677 S Main St
Ste 2
Cheshire, CT 06410

677 S Main St
Ste 1
Cheshire, CT 06410
Phone (203) 272-2248

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

Interoperability endpoints

  • Direct secure messaging: cdsouza382891@direct.ynhh.org

Organizations & group practices 1

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 9

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": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1013379619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 S MAIN ST STE 2",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103162",
            "telephone_number": "203-272-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 S MAIN ST STE 1",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103162",
            "telephone_number": "203-272-7251",
            "fax_number": "203-272-2552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "56 Franklin St",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "CT",
            "postal_code": "067061253",
            "country_code": "US",
            "telephone_number": "203-709-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "D'SOUZA",
        "first_name": "CHRISTOPHER",
        "middle_name": "FRANCIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-22",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CT",
            "license": "06-0646844",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "62271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013379619",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

Verify at the official NPI Registry.