Active NPI
Rodrigo G Valadares de Sousa, MD
- Rheumatology Physician
- Franklin, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 53122
- Practice address
- 4225 W. Oakwood Park CT
Franklin, WI 53132 - Phone
- (414) 435-0025
- Fax
- (414) 435-0026
- NPI assigned
- Apr 1, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 4301089777 | MI | |
| Rheumatology Physician | 207RR0500X | 53122 | WI | Primary |
Addresses
Primary practice location
4225 W. Oakwood Park CT
Franklin, WI 53132
Mailing address
4225 W. Oakwood Park CT
Franklin, WI 53132
Phone (414) 435-0025
Other names 1
- Rodrigo G V Sousa
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1700 W Paradise Dr
West Bend, WI 53095-9795
Phone (262) 334-3451
Hospital & facility affiliations
- Community Memorial Hospital
- St Josephs Community Hospital West Bend
- Froedtert Memorial Lutheran Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301089777 | MI | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| The Medical College of Wisconsin, Inc. | Current | Accepting new patients | |
| Prohealth Medical Group Inc | Past | Accepting new patients |
Locations
420 E Division St
Fond du Lac, WI 54935
Phone (920) 923-7400
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
N14W23900 Stone Ridge Dr
Waukesha, WI 53188
Phone (262) 549-3030
840 N 87th St
Wauwatosa, WI 53226
Phone (414) 805-5540
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
3200 Pleasant Valley Rd
West Bend, WI 53095
Phone (262) 334-5533
1700 W Paradise Dr
West Bend, WI 53095
Phone (262) 334-3451
Interoperability endpoints
- rvaladaresdesousamd39265@direct.froedtert.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
-
- Durable Medical Equipment & Medical Supplies
- Wauwatosa, WI
- NPI 1154947224
-
- Family Medicine Physician
- Waukesha, WI
- NPI 1790720613
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Menomonee Falls, WI
- NPI 1609822881
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1255334173
-
- General Acute Care Hospital
- West Bend, WI
- NPI 1851336044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391126400000",
"number": "1023250321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4225 W. OAKWOOD PARK CT",
"city": "FRANKLIN",
"state": "WI",
"postal_code": "53132",
"telephone_number": "414-435-0025",
"fax_number": "414-435-0026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4225 W. OAKWOOD PARK CT",
"city": "FRANKLIN",
"state": "WI",
"postal_code": "53132",
"telephone_number": "414-435-0025",
"fax_number": "414-435-0026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALADARES DE SOUSA",
"first_name": "RODRIGO",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-01",
"last_updated": "2014-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MI",
"license": "4301089777",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "WI",
"license": "53122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RODRIGO",
"last_name": "SOUSA",
"middle_name": "G V",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Franklin, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.