Neil D B Desoyza, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

21895 Issued in KY

Practice address

380 Centre View Blvd
Crestview Hills, KY 41017-3476

Phone

(859) 341-3015

Fax

(859) 341-3215

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Northern Kentucky Heart PSC

  • Cardiovascular Disease Physician
  • Crestview Hills, KY
  • NPI 1700879491
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307923200000",
    "number": "1114015583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 CENTRE VIEW BLVD",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173476",
            "telephone_number": "859-341-3015",
            "fax_number": "859-341-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 CENTRE VIEW BLVD",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173476",
            "telephone_number": "859-341-3015",
            "fax_number": "859-341-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESOYZA",
        "first_name": "NEIL",
        "middle_name": "D B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2011-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "21895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64218951",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00920129",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2268791",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Day, APRN
• William D Debuys, M.D.
• Mark H. Deis, M.D.
• Kimberly Deringer, MD
• Dermatology Specialists of Northern Kentucky PSC
• Christian Andrew Dewan
• Jennifer Kay Dieman, MED, LPCC
• Caitlin Dinardo
• Katelyn Dolbec, MBBS
• Jennifer Lynn Dooley, CNM

• Cardiovascular Disease Physician in Crestview Hills, KY
• Providers in Crestview Hills, KY by specialty
• Cardiovascular Disease Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.