Individual provider Active NPI

Sarah M Souza, PA-C

  • Physician Assistant
  • Temple Terrace, FL
National Provider Identifier
1033161971
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9103015 Issued in FL
Practice address
12470 Telecom Dr Ste 100
Temple Terrace, FL 33637
Phone
(813) 779-6303
Fax
(888) 977-1998
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X PA9103015 FL
Physician Assistant 363A00000X PA9103015 FL Primary

Addresses

Primary practice location

12470 Telecom Dr Ste 100
Temple Terrace, FL 33637

Mailing address

12470 Telecom Dr Ste 100
Temple Terrace, FL 33637-0904
Phone (813) 779-6303

Other practice location 1

201 E Dixie Ave
Leesburg, FL 34748-5852
Phone (352) 326-4066

Other practice location 2

12470 Telecom Dr Ste 100
Temple Terrace, FL 33637
Phone (813) 779-6303

Other names 1

  • Sarah M Richardson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, DC, MD3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20060306000022 FL Practitioner - Physician Assistant 2860408531 Reassigns benefits to 4 organizations
I20201217000140 DC Practitioner - Physician Assistant 2860408531 Reassigns benefits to 1 organization
I20240730002785 MD Practitioner - Physician Assistant 2860408531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

25500 Point Lookout Rd
Leonardtown, MD 20650-2015
Phone (240) 434-4088

29955 Three Notch Rd
100 MMG at Charlotte Hall
Charlotte Hall, MD 20622-3159
Phone (301) 290-5300

7503 Surratts Rd
Clinton, MD 20735-3358
Phone (301) 868-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9103015FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Jan 1, 2021 Accepting new patients
Inpatient Consultants of Florida, Inc Hospitalist CurrentSince Jan 10, 2017 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jan 1, 2021 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jun 5, 2024 Accepting new patients
Ocala Florida Physician Group Current Accepting new patients
Adventist Health System-Sunbelt Inc Hospitalist Past Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

3007 Tilden St NW
Ste 5N
Washington, DC 20008

419 SW 15th St
Ocala, FL 34471
Phone (352) 269-8099

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1033161971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12470 TELECOM DR STE 100",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370904",
            "telephone_number": "813-779-6303",
            "fax_number": "888-977-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12470 TELECOM DR STE 100",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "33637",
            "telephone_number": "813-779-6303",
            "fax_number": "888-977-1998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 E Dixie Ave",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347485852",
            "country_code": "US",
            "telephone_number": "352-326-4066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12470 Telecom Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Temple Terrace",
            "state": "FL",
            "postal_code": "33637",
            "country_code": "US",
            "telephone_number": "813-779-6303",
            "fax_number": "888-977-1998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUZA",
        "first_name": "SARAH",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "PA9103015",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9103015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "RICHARDSON",
            "middle_name": "M",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Temple Terrace, FL

Sources for this page

Verify at the official NPI Registry.