Individual provider Active NPI

Cheryl M D Souza, MD

  • Pediatrics Physician
  • Salem, MA
National Provider Identifier
1316919400
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
157158 Issued in MA
Practice address
72 Highland Ave
Pediatric Associates of Greater Salem
Salem, MA 01970-2738
Phone
(978) 745-3050
Fax
(978) 744-9594
NPI assigned
Feb 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 157158 MA Primary

Addresses

Primary practice location

72 Highland Ave
Pediatric Associates of Greater Salem
Salem, MA 01970-2738

Mailing address

72 Highland Ave
Pediatric Associates of Greater Salem
Salem, MA 01970-2738
Phone (978) 745-3050

Other identifiers 3

IdentifierTypeStateIssuer
157158OtherTUFTS
3205134MedicaidMA
J22032OtherBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20110204000241 MA Practitioner - Pediatric Medicine 7012197288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Boston University School of Medicine, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Pediatric Associates of Greater Salem IncGroup PAC ID 4284648270, 11 clinicians

Practice addresses (Care Compare)

30 Tozer Rd
Beverly, MA 01915-5502
Phone (978) 745-3050

84 Highland Ave
Suite 101
Salem, MA 01970-2732
Phone (978) 745-3050

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Associates of Greater Salem, Inc Pediatrics CurrentSince Nov 11, 2010 Accepting new patients

Locations

30 Tozer Rd
Beverly, MA 01915
Phone (978) 712-1100

30 Tozer Rd
Fl 1
Beverly, MA 01915

84 Highland Ave
Ste 101
Salem, MA 01970
Phone (978) 745-3050

Interoperability endpoints

  • Direct secure messaging: cheryl.d.souza.1@2804.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/2804/brand/1/csg/1/fhir/r4
  • Direct secure messaging: d'souza.cheryl.pags@direct.partners.masshiway.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1316919400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 HIGHLAND AVE",
            "address_2": "PEDIATRIC ASSOCIATES OF GREATER SALEM",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702738",
            "telephone_number": "978-745-3050",
            "fax_number": "978-744-9594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 HIGHLAND AVE",
            "address_2": "PEDIATRIC ASSOCIATES OF GREATER SALEM",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702738",
            "telephone_number": "978-745-3050",
            "fax_number": "978-744-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D SOUZA",
        "first_name": "CHERYL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "157158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "157158",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3205134",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "J22032",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

Verify at the official NPI Registry.