Active NPI
Jennifer M. Souza, M.D.
- Family Medicine Physician
- Foxboro, MA
National Provider Identifier
1063429165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 209230
- Practice address
- 18 Washington St
Foxboro, MA 02035-1021 - Phone
- (508) 698-0044
- Fax
- (508) 698-5373
- NPI assigned
- Aug 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 209230 | MA | Primary |
Addresses
Primary practice location
18 Washington St
Foxboro, MA 02035-1021
Mailing address
18 Washington St
Foxboro, MA 02035-1021
Phone (508) 698-0044
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 92334 | Other | MA | FALLON |
| 468086 | Other | MA | TUFTS |
| AA30839 | Other | MA | HPHC |
| 000000030830 | Other | MA | BMC HEALTHNET |
| 410399 | Other | RI BLUE CHIP | |
| 1611585 | Other | MA | CIGNA |
| J25249 | Other | MA | MABC |
| 0165336 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- 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
- Family Practice
- Education
- Warren Alpert Medical School of Brown University, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
562 Washington St
South Attleboro, MA 02703-6942
Phone (508) 761-5650
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209230 | MA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Medicine Associates of South Attleboro, P.C. | Family Medicine | Current | Accepting new patients |
Locations
562 Washington St
South Attleboro, MA 02703
Phone (401) 725-4888
Interoperability endpoints
- jennifer.souza.1@734.direct.athenahealth.com
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.
-
- Family Medicine Physician
- South Attleboro, MA
- NPI 1750309431
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AccentCare Home Health of Massachusetts
- Home Health Agency
- Westwood, MA
- NPI 1720391329
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- General Acute Care Hospital
- Taunton, MA
- NPI 1609603877
-
- General Acute Care Hospital
- Newton, MA
- NPI 1992737761
-
- Home Health Agency
- Milford, MA
- NPI 1568828796
-
- General Acute Care Hospital
- Attleboro, MA
- NPI 1730106162
-
- Home Health Agency
- Walpole, MA
- NPI 1205820933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323648000000",
"number": "1063429165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 WASHINGTON ST",
"city": "FOXBORO",
"state": "MA",
"postal_code": "020351021",
"telephone_number": "508-698-0044",
"fax_number": "508-698-5373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 WASHINGTON ST",
"city": "FOXBORO",
"state": "MA",
"postal_code": "020351021",
"telephone_number": "508-698-0044",
"fax_number": "508-698-5373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUZA",
"first_name": "JENNIFER",
"middle_name": "M.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2011-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "209230",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "92334",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "468086",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "AA30839",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC HEALTHNET",
"identifier": "000000030830",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RI BLUE CHIP",
"identifier": "410399",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1611585",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MABC",
"identifier": "J25249",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0165336",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Foxboro, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.