Individual provider Active NPI

Jose Sousa, CRNA

  • Certified Registered Nurse Anesthetist
  • Waterbury, CT
National Provider Identifier
1316985716
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1797 Issued in CT
Practice address
1312 W Main St
Waterbury, CT 06708-3121
Phone
(203) 756-6422
Fax
(860) 826-4992
NPI assigned
Jun 4, 2006
Last updated
Feb 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1797 CT Primary
Registered Nurse 163W00000X E50244 CT

Addresses

Primary practice location

1312 W Main St
Waterbury, CT 06708-3121

Mailing address

99 E River Dr FL 5
East Hartford, CT 06108-7301
Phone (860) 282-0833

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101015000794 CT Practitioner - Certified Registered Nurse Anesthetist (Crna) 2062605546 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Gi PLLCGroup PAC ID 9830110758, 243 clinicians
Synergy Anesthesia CT PLLCGroup PAC ID 1759755416, 34 clinicians

Practice addresses (Care Compare)

300 Western Blvd
Glastonbury, CT 06033-4305
Phone (860) 657-1920

64 Robbins St
Waterbury, CT 06708-2613
Phone (203) 573-7280

Merit-based Incentive Payment System (MIPS)

Final score
91.99 of 100Reported as group
Quality
89.16
Promoting interoperability
100
Improvement activities
40
Cost
78.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1797CTMDBehavioral Analyst
001797CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ecc Ancillary Services CurrentSince Mar 1, 2026 Accepting new patients
Connecticut Gi PLLC CurrentSince Jan 1, 2020 Accepting new patients
North American Partners in Anesthesia Connecticut PC CurrentSince Oct 13, 1997 Accepting new patients
Endoscopy Center of Connecticut, LLC CurrentSince Sep 1, 2016 Accepting new patients
Endoscopy Center of Connecticut, LLC CurrentSince Sep 1, 2016 Accepting new patients
Integrated Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2024 Accepting new patients
Synergy Anesthesia CT PLLC CurrentSince Jan 20, 2025 Accepting new patients
Waterbury Anesthesiology Assoc. Inc Past Accepting new patients

Locations

300 Western Blvd
Glastonbury, CT 06033
Phone (860) 547-0306

2200 Whitney Ave
Ste 380
Hamden, CT 06518
Phone (203) 281-3636

80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249

85 Seymour St
Ste 1000
Hartford, CT 06106
Phone (860) 246-2571

99 E River Dr
Fl 5
Hartford, CT 06108
Phone (860) 282-4022

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

30 Waterchase Dr
Rocky Hill, CT 06067
Phone (860) 257-4131

2 Corporate Dr
Ste 955
Shelton, CT 06484
Phone (203) 929-7375

1312 W Main St
Waterbury, CT 06708
Phone (203) 709-4575

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

87 Grandview Ave
Waterbury, CT 06708
Phone (203) 465-1353

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

Interoperability endpoints

  • Direct secure messaging: josed.sousa@xdr.hhchealthdirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1316985716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 E RIVER DR FL 5",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061087301",
            "telephone_number": "860-282-0833",
            "fax_number": "516-945-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 W MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083121",
            "telephone_number": "203-756-6422",
            "fax_number": "860-826-4992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUSA",
        "first_name": "JOSE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "1797",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "E50244",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.