Individual provider Active NPI

Savio D'Souza

  • Pain Medicine (Anesthesiology) Physician
  • Brandon, FL
National Provider Identifier
1124253638
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME119569 Issued in FL
Practice address
605 Medical Care Dr
Brandon, FL 33511-5942
Phone
(813) 689-4114
NPI assigned
May 28, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X ME119569 FL
Pain Medicine (Anesthesiology) Physician 207LP2900X ME119569 FL Primary

Addresses

Primary practice location

605 Medical Care Dr
Brandon, FL 33511-5942

Mailing address

1301 W 22ND St
Oak Brook, IL 60523-2006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170624000110 FL Practitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - Pediatric Medicine 9133357080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
University of South Florida College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neil H Weisman MD PAGroup PAC ID 5092966374, 2 clinicians

Practice addresses (Care Compare)

605 Medical Care Dr
Brandon, FL 33511-5942
Phone (813) 689-4114

Merit-based Incentive Payment System (MIPS)

Final score
89.64 of 100Reported as individual
Quality
77.79
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME119569FLMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neil H Weisman MD PA Pain Medicine CurrentSince Jun 23, 2017 Accepting new patients
Jose R Prieto MD PA PastSince Jun 23, 2017 Accepting new patients

Locations

605 Medical Care Dr
Brandon, FL 33511
Phone (813) 681-6474

6637 Gunn Hwy
Tampa, FL 33625
Phone (813) 689-4114

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: savio.d.souza.1@5906.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/5906/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1124253638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W 22ND ST",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 MEDICAL CARE DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115942",
            "telephone_number": "813-689-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'SOUZA",
        "first_name": "SAVIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME119569",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME119569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.