Individual provider Active NPI

Nicholas D Sousa, D.O.

  • Surgery Physician
  • Madison Heights, MI
National Provider Identifier
1134533912
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5101021243 Issued in MI
Practice address
27483 Dequindre Rd Ste 301
Madison Heights, MI 48071-5715
Phone
(248) 546-2600
NPI assigned
Jun 19, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5101021243 MI Primary

Addresses

Primary practice location

27483 Dequindre Rd Ste 301
Madison Heights, MI 48071-5715

Mailing address

27483 Dequindre Rd Ste 301
Madison Heights, MI 48071-5715
Phone (248) 546-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20190621001290 MI Practitioner - General Surgery 0345549911 Reassigns benefits to 5 organizations
Practice locations: Bloomfield Hills, MI

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Lake Erie College of Osteopathic Medicine, Erie, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Health Macomb Oakland HospitalGroup PAC ID 7315859725, 155 clinicians
Michigan Healthcare Professionals PCGroup PAC ID 0345413258, 525 clinicians

Practice addresses (Care Compare)

27483 Dequindre Rd
Suite 204
Madison Heights, MI 48071-5711
Phone (248) 967-7326

27483 Dequindre Rd
Suite 301
Madison Heights, MI 48071-5715
Phone (248) 546-2600

Hospital & facility affiliations

  • Henry Ford Health Warren Hospital Hospital, Warren, MI, CCN 230195
  • McLaren Port Huron Hospital, Port Huron, MI, CCN 230216
  • Ascension Providence Rochester Hospital Hospital, Rochester, MI, CCN 230254
  • Lake Huron Medical Center Hospital, Port Huron, MI, CCN 230031
  • Promedica Monroe Regional Hospital Hospital, Monroe, MI, CCN 230099

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Colonoscopy18
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux25
Removal of tissue12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101021243MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Port Huron CurrentSince Oct 7, 2023 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital Surgery CurrentSince Aug 1, 2020 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Dec 20, 2023 Accepting new patients
Henry Ford Semi Medical Group Current Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Dec 20, 2023 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Aug 1, 2020 Accepting new patients
Henry Ford Semi Medical Group Surgery CurrentSince Aug 1, 2020 Accepting new patients
Henry Ford Semi Medical Group Surgery CurrentSince Aug 1, 2020 Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery CurrentSince Jul 1, 2019 Accepting new patients
McLaren Port Huron Current Accepting new patients
Henry Ford Health Macomb Oakland Hospital Past Accepting new patients
Mercy Memorial Hospital Corporatio Past Accepting new patients
Henry Ford Health Macomb Oakland Hospital Past Accepting new patients
McLaren Port Huron Past Accepting new patients
Henry Ford Health Macomb Oakland Hospital Past Accepting new patients

Locations

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

27483 Dequindre Rd
Ste 301
Madison Hts, MI 48071
Phone (248) 543-4000

27483 Dequindre Rd
Ste 204
Madison Hts, MI 48071
Phone (248) 967-7326

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

50 N Perry St
#2
Pontiac, MI 48342
Phone (248) 338-5865

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

1135 W University Dr
Ste 240
Rochester, MI 48307
Phone (248) 212-0116

1163 S Carney Dr
Saint Clair, MI 48079
Phone (810) 561-8450

37771 Schoenherr Rd
Ste 104
Sterling Hts, MI 48312
Phone (810) 286-0050

12000 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000

Interoperability endpoints

  • Direct secure messaging: nsousa448392@direct.hfhs.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 7

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": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1134533912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27483 DEQUINDRE RD STE 301",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480715715",
            "telephone_number": "248-546-2600",
            "fax_number": "248-546-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27483 DEQUINDRE RD STE 301",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480715715",
            "telephone_number": "248-546-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUSA",
        "first_name": "NICHOLAS",
        "middle_name": "D",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-19",
        "last_updated": "2022-09-16",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101021243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

Verify at the official NPI Registry.