NPIMap

Individual provider Active NPI

Allen Binoy Dsouza, M.D.

  • Psychiatry Physician
  • Du Bois, PA
National Provider Identifier
1174907778
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD470091 Issued in PA
Practice address
535 Sunflower Dr
Du Bois, PA 15801-2350
Phone
(814) 375-6379
NPI assigned
Jul 13, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X MD470091 PA Primary

Addresses

Primary practice location

535 Sunflower Dr
Du Bois, PA 15801-2350

Mailing address

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 375-6379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210223001139 PA Practitioner - Psychiatry 8628312485 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Penn State Health Medical Group LLC 720 clinicians
Dubois Regional Medical Center 424 clinicians

Practice addresses (Care Compare)

503 N 21St St
Camp Hill, PA 17011-2204
Phone (717) 234-2561

635 Maple Ave
DRMC Behaviorial HLTH
Dubois, PA 15801-2383
Phone (814) 375-6379

Hospital & facility affiliations

  • Penn Highlands Dubois Hospital, Dubois, PA, CCN 390086

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD470091PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Penn State Health Medical Group, LLC CurrentSince Jun 1, 2025 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Jun 1, 2025 Accepting new patients
Elk Regional Health Center CurrentSince Dec 1, 2020 Accepting new patients
Dubois Regional Medical Center Psychiatry CurrentSince Dec 1, 2020 Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
Dubois Regional Medical Center CurrentSince Dec 1, 2020 Accepting new patients
Supportive Care of Pennsylvania LLC CurrentSince Apr 15, 2025 Accepting new patients
Brookville Hospital CurrentSince Dec 1, 2020 Accepting new patients
Brookville Hospital CurrentSince Dec 1, 2020 Accepting new patients
Elk Regional Health Center Psychiatry CurrentSince Dec 1, 2020 Accepting new patients
Clearfield Hospital Past Accepting new patients
Clearfield Hospital Past Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

90 Hospital Rd
Brookville, PA 15825
Phone (814) 849-1396

100 Hospital Rd
Brookville, PA 15825
Phone (814) 849-1408

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

1033 Turnpike Ave
Ste 300
Clearfield, PA 16830
Phone (814) 768-2137

809 Turnpike Ave
Clearfield, PA 16830
Phone (814) 765-5341

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

535 Sunflower Dr
Dubois, PA 15801
Phone (814) 371-4320

275 E 4th St
Emporium, PA 15834
Phone (814) 486-6123

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

111 Cobb St
Johnsonburg, PA 15845
Phone (814) 965-2857

2109 Red Lion Rd
Philadelphia, PA 19115
Phone (215) 213-7000

763 Johnsonburg Rd
Saint Marys, PA 15857
Phone (814) 788-8000

Interoperability endpoints

  • Direct secure messaging: abdsouza@1285.direct.myezyaccess.com

Organizations & group practices 12

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.

Hospital & facility affiliations 28

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1174907778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011440",
            "telephone_number": "814-375-6379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 SUNFLOWER DR",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012350",
            "telephone_number": "814-375-6379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DSOUZA",
        "first_name": "ALLEN",
        "middle_name": "BINOY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-13",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD470091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

Verify at the official NPI Registry.