Active NPI
Sharlene Lillian D'Souza, M.D.
- Gastroenterology Physician
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 2023035709
- Practice address
- One Hospital Dr
Columbia, MO 65212-0001 - Phone
- (573) 884-8445
- Fax
- (573) 884-5318
- NPI assigned
- Oct 4, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 157748 | OR | |
| Gastroenterology Physician | 207RG0100X | 2023035709 | MO | Primary |
Addresses
Primary practice location
One Hospital Dr
Columbia, MO 65212-0001
Mailing address
PO Box 843966
Kansas City, MO 64184-3966
Phone (573) 884-3300
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | MUDOCREFERRAL@direct.health.missouri.edu | Direct | Curators of the University of Missouri |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120815000680 | OR | Practitioner - Gastroenterology | 3476722000 | Reassigns benefits to 1 organization |
| I20240122002702 | WA | Practitioner - Gastroenterology | 3476722000 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kaiser Foundation Health Plan of the Northwest
Practice addresses (Care Compare)
14406 NE 20TH Ave
Vancouver, WA 98686-1448
Phone (800) 813-2000
9900 SE Sunnyside Rd
Clackamas, OR 97015-9777
Phone (800) 813-2000
Hospital & facility affiliations
- Yakima Valley Memorial
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 157748 | OR | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Northwest | Internal Medicine | Current | Accepting new patients |
| Yakima Valley Memorial Physicians | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Yakima Valley Memorial Physicians | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Internal Medicine | Current | Accepting new patients |
Locations
1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445
9900 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-8240
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674
500 NE Multnomah St
Fl 11
Portland, OR 97232
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801
7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000
14406 NE 20th Ave
Vancouver, WA 98686
Phone (360) 418-6001
2811 Tieton Dr
Yakima, WA 98902
Phone (509) 249-5210
4003 Creekside Loop
Yakima, WA 98908
Phone (509) 248-3263
Interoperability endpoints
- sdsouza785041@oc.providencedirect.org
Organizations & group practices 8
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.
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
Internal Medicine, OR, WA
-
- Clinical Medical Laboratory
- Portland, OR
- NPI 1245382753
-
- Home Health Agency
- Portland, OR
- NPI 1487711412
-
- Community Based Hospice Care Agency
- Portland, OR
- NPI 1992860993
-
- Clinic/Center
- Hillsboro, OR
- NPI 1942718622
-
- Family Medicine Physician
- West Fargo, ND
- NPI 1184917924
Internal Medicine
-
- Durable Medical Equipment & Medical Supplies
- Yakima, WA
- NPI 1366325870
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Yakima, WA
- NPI 1053373480
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1295821890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 843966",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641843966",
"telephone_number": "573-884-3300",
"fax_number": "573-884-0943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE HOSPITAL DR",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652120001",
"telephone_number": "573-884-8445",
"fax_number": "573-884-5318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'SOUZA",
"first_name": "SHARLENE",
"middle_name": "LILLIAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "OR",
"license": "157748",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MO",
"license": "2023035709",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "MUDOCREFERRAL@direct.health.missouri.edu",
"affiliation": "Y",
"endpointDescription": "Endpoint is used to receive electronic continuity of care documents (C-CDA) for outpatient referrals",
"affiliationName": "Curators of the University of Missouri",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct",
"address_1": "One Hospital Dr",
"city": "Columbia",
"state": "MO",
"country_code": "US",
"postal_code": "652120001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.