Active NPI
Elizabeth K. Desouza, MD
- Pediatrics Physician
- Highlands Ranch, CO
National Provider Identifier
1154523850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 45290
- Practice address
- 9285 Hepburn St
Highlands Ranch, CO 80129-2262 - Phone
- (720) 922-5342
- NPI assigned
- Jun 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 45290 | CO | Primary |
Addresses
Primary practice location
9285 Hepburn St
Highlands Ranch, CO 80129-2262
Mailing address
9285 Hepburn St
Highlands Ranch, CO 80129-2262
Phone (720) 922-5342
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018062 | Other | CO | KAISER COMMERCIAL NUMBER |
| 43081304 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45290 | CO | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298851200000",
"number": "1154523850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9285 HEPBURN ST",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801292262",
"telephone_number": "720-922-5342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9285 HEPBURN ST",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801292262",
"telephone_number": "720-922-5342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESOUZA",
"first_name": "ELIZABETH",
"middle_name": "K.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2011-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "45290",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER COMMERCIAL NUMBER",
"identifier": "018062",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43081304",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Highlands Ranch, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.