Active NPI
Michelle De Souza, MD
- Plastic and Reconstructive Surgery Physician
- Kansas City, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 04-34294
- Practice address
- 3901 Rainbow Blvd
Mail Stop 3015
Kansas City, KS 66160-8500 - Phone
- (913) 588-2000
- NPI assigned
- Aug 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | ME103041 | FL | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 04-34294 | KS | Primary |
Addresses
Primary practice location
3901 Rainbow Blvd
Mail Stop 3015
Kansas City, KS 66160-8500
Mailing address
PO Box 411851
Kansas City, MO 64141-1851
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10710 Nall Ave
Overland Park, KS 66211-1206
Phone (913) 588-1227
10720 Nall Ave
Overland Park, KS 66211-1206
10777 Nall Ave
Suite 140
Overland Park, KS 66211-1312
Phone (913) 588-6970
10790 Nall Ave
Overland Park, KS 66211-1206
Phone (913) 588-1227
3901 Rainbow Blvd
Kansas City, KS 66160-7330
Phone (913) 588-6144
4000 Cambridge St
Suite G600
Kansas City, KS 66160-8501
Phone (913) 588-1227
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.91 of 100
- Quality
- 77.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 48 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME103041 | FL | MD | Plastic Surgery Physician |
| 04-34294 | KS | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas University Physicians, Inc. | Current | Accepting new patients | |
| Kansas University Physicians Inc | Current | Accepting new patients | |
| Kansas University Physicians Inc | Current | Accepting new patients | |
| Kansas University Physicians Inc | Current | Accepting new patients | |
| Kansas University Physicians Inc | Current | Accepting new patients | |
| Kansas University Physicians Inc | Past | Accepting new patients |
Locations
3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005
3901 Rainbow Blvd
Stop 3015
Kansas City, KS 66160
Phone (608) 330-2624
4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-0000
10777 Nall Ave
Ste 210
Overland Park, KS 66211
Phone (913) 588-6146
2790 Clay Edwards Dr
Ste 405
North Kansas City, MO 64116
Phone (913) 588-3117
Interoperability endpoints
- mdesouza23269@direct.kuha.org
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Kansas City, KS
- NPI 1003858333
-
dba KU Orthopedics
- Orthopaedic Surgery Physician
- Kansas City, KS
- NPI 1306982236
-
- Cardiovascular Disease Physician
- Kansas City, KS
- NPI 1407637291
-
dba KU Neurosurgery
- Neurological Surgery Physician
- Kansas City, KS
- NPI 1922144856
-
dba KU Urgent Care
- Urgent Care Clinic/Center
- Kansas City, KS
- NPI 1295378156
-
dba KU Internal Medicine
- Internal Medicine Physician
- Kansas City, KS
- NPI 1699811521
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of Kansas Hospital / University of Kansas Cancer Center
- General Acute Care Hospital
- Kansas City, KS
- NPI 1629369681
-
dba The University of Kansas Hospital
- General Acute Care Hospital
- Kansas City, KS
- NPI 1649259656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428451200000",
"number": "1225221476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 411851",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641411851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 RAINBOW BLVD",
"address_2": "MAIL STOP 3015",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661608500",
"telephone_number": "913-588-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE SOUZA",
"first_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-21",
"last_updated": "2015-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "FL",
"license": "ME103041",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "KS",
"license": "04-34294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; 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.