Organization Active NPI

Romaldo Desouza, MD

  • Internal Medicine Physician
  • Gainesville, VA
National Provider Identifier
1144989823
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ROMALDO DESOUZA, MD
Practice address
6344 Tred Avon Place
Gainesville, VA 20155-3133
Phone
(703) 217-6255
NPI assigned
Dec 10, 2021
Last updated
Dec 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Authorized official

Name
Sylvia Rollins
Title
Billing Manager
Phone
(410) 719-0020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

6344 Tred Avon Place
Gainesville, VA 20155-3133

Mailing address

6344 Tred Avon Place
Gainesville, VA 20155-3133
Phone (703) 217-6255

Other identifiers 1

IdentifierTypeStateIssuer
1740628007MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL claimdoc@aol.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639094400000",
    "number": "1144989823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6344 TRED AVON PLACE",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553133",
            "telephone_number": "703-217-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6344 TRED AVON PLACE",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553133",
            "telephone_number": "703-217-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMALDO DESOUZA, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-10",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "ROLLINS",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "410-719-0020"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740628007",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "claimdoc@aol.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "6344 Tred Avon Place",
            "city": "Gainesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "20155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.