Individual provider Active NPI

Pamela D'Souza-David, M.D.

  • Ophthalmology Physician
  • Laurel, MD
National Provider Identifier
1104010792
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D72803 Issued in MD
Practice address
8101 Sandy Spring Rd Ste 108
Laurel, MD 20707-3596
Phone
(240) 917-2770
Fax
(240) 360-4642
NPI assigned
Aug 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D72803 MD Primary

Addresses

Primary practice location

8101 Sandy Spring Rd Ste 108
Laurel, MD 20707-3596

Mailing address

8101 Sandy Spring Rd Ste 108
Laurel, MD 20707-3596
Phone (240) 917-2770

Other practice location 1

17001 Science Dr
Suite 120
Bowie, MD 20715-4329
Phone (301) 860-1090

Other identifiers 2

IdentifierTypeStateIssuer
436278YHW6OtherDCMEDICARE NPI
228667YAPWOtherMDMEDICARE NPI

Other names 1

  • Pamela Pritisagar D'Souza Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111025000464 MD Practitioner - Ophthalmology 0840463550 Reassigns benefits to 1 organization
I20150921000976 DC Practitioner - Ophthalmology 0840463550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Missouri, Columbia School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8101 Sandy Spring Rd
Suite 108
Laurel, MD 20707-3596
Phone (240) 917-2770

Merit-based Incentive Payment System (MIPS)

Final score
90.06 of 100Reported as individual
Quality
92.44
Improvement activities
40
Cost
70.47

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D72803MDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Glaucoma Eyecare Ophthalmology CurrentSince Apr 17, 2019 Accepting new patients
Robert L. Kasper, M.D. and Robert a. Loeb, M.D., P.a. Ophthalmology Past Accepting new patients
Barenburg Optical Service, Inc Past Accepting new patients

Locations

8850 Columbia 100 Pkwy
Ste 101
Columbia, MD 21045
Phone (240) 917-2770

8101 Sandy Spring Rd
Ste 108
Laurel, MD 20707
Phone (240) 917-2770

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1104010792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 SANDY SPRING RD STE 108",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207073596",
            "telephone_number": "240-917-2770",
            "fax_number": "240-360-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 SANDY SPRING RD STE 108",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207073596",
            "telephone_number": "240-917-2770",
            "fax_number": "240-360-4642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17001 Science Dr",
            "address_2": "SUITE 120",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207154329",
            "country_code": "US",
            "telephone_number": "301-860-1090",
            "fax_number": "301-860-1095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "D'SOUZA-DAVID",
        "first_name": "PAMELA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-28",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D72803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI",
            "identifier": "436278YHW6",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI",
            "identifier": "228667YAPW",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "D'SOUZA",
            "middle_name": "PRITISAGAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.