Kelly Ughini De Souza, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

ME119211 Issued in FL

Practice address

7740 Nova Dr Ste B4
Davie, FL 33324-5802

Phone

(754) 200-6410

Fax

(754) 200-6411

NPI assigned

Apr 5, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

Pain ManagementAlso: Anesthesiology

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mobile Anesthesia Associates LLCGroup PAC ID 4183619828, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cleveland Clinic Hospital Hospital, Weston, FL, CCN 100289

Merit-based Incentive Payment System (MIPS)

Final score

90.12 of 100Reported as group

Quality

71.03

Promoting interoperability

100

Improvement activities

40

Cost

83.49

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelly.desouza.1@30104.direct.athenahealth.com

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.

• Elite Relief MD

  • Pain Medicine (Anesthesiology) Physician
  • Davie, FL
  • NPI 1447029947

  FL, Pain Medicine

  Medicare reassignment NPD Authorized official
• Mobile Anesthesia Associates LLC

  • Pain Medicine (Anesthesiology) Physician
  • Stuart, FL
  • NPI 1295776243

  Anesthesiology, FL

  Medicare reassignment Care Compare group NPD
• Baptist Surgery and Endoscopy Centers LLC

  • Ambulatory Surgical Clinic/Center
  • West Palm Beach, FL
  • NPI 1407227358
  NPD

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

• Cleveland Clinic Weston Hospital Nonprofit Corporation

  • General Acute Care Hospital
  • Weston, FL
  • NPI 1083644033

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1194040949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7740 NOVA DR STE B4",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333245802",
            "telephone_number": "754-200-6410",
            "fax_number": "754-200-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7740 NOVA DR STE B4",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333245802",
            "telephone_number": "754-200-6410",
            "fax_number": "754-200-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE SOUZA",
        "first_name": "KELLY",
        "middle_name": "UGHINI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-05",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME119211",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME119211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NEXTGEN",
            "affiliation": "N",
            "address_1": "7740 Nova Dr Ste B4",
            "city": "Davie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333245802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vanessa De Para
• Stephanie Michelle De Paz
• Alexandra De Quesada
• Eduardo Ferreira De Sousa, RMHC
• Evelin Pereira Santos De Souza
• Lisnet De Torres
• Kevin Dean, OD
• Nicole Dean
• Viviane Vicente Dean, CRNA
• Lauren Deans, LCSW

• All providers in Davie, FL
• Pain Medicine (Anesthesiology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.