Individual provider Active NPI

Rowena A Desouza, M.D.

  • Urology Physician
  • Cordova, TN
National Provider Identifier
1326201567
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
51681 Issued in TN
Practice address
57 Germantown CT
Suite 204
Cordova, TN 38018-7273
Phone
(901) 758-7770
Fax
(901) 266-6417
NPI assigned
Jul 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 202053 LA
Urology Physician 208800000X 51681 TN Primary
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician 2088F0040X 51681 TN
Urology Physician 208800000X P0719 TX

Addresses

Primary practice location

57 Germantown CT
Suite 204
Cordova, TN 38018-7273

Mailing address

PO Box 1000
Dept # 457
Memphis, TN 38148-0001
Phone (901) 758-7770

Other identifiers 5

IdentifierTypeStateIssuer
Q009152MedicaidTN
05856545MedicaidMS
6026501OtherTNBCBS
206032001MedicaidAR
P01453290OtherTNRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20141230001448 TN Practitioner - Urology 4587731690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Meharry Medical College School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology Group PCGroup PAC ID 9739153354, 17 clinicians

Practice addresses (Care Compare)

7550 Wolf River Blvd
Suite 200
Germantown, TN 38138-1778
Phone (901) 767-8158

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.43 of 100Reported as group
Quality
92.86
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Group, PC CurrentSince Apr 15, 2017 Accepting new patients
Urology Group PC Urology CurrentSince Apr 15, 2017 Accepting new patients
Urology Group PC Urology Current Accepting new patients
Methodist Healthcare - Memphis Hospitals Past Accepting new patients

Locations

7550 Wolf River Blvd
Ste 200
Germantown, TN 38138
Phone (901) 542-6800

6029 Walnut Grove Rd
Ste 300
Memphis, TN 38120

Interoperability endpoints

  • Direct secure messaging: rdesouza32085@mlh.direct-ci.com
  • Direct secure messaging: rowena.de.souza.1@1407.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1326201567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "address_2": "DEPT # 457",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480001",
            "telephone_number": "901-758-7770",
            "fax_number": "901-266-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 GERMANTOWN CT",
            "address_2": "SUITE 204",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380187273",
            "telephone_number": "901-758-7770",
            "fax_number": "901-266-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESOUZA",
        "first_name": "ROWENA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "LA",
            "license": "202053",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TN",
            "license": "51681",
            "primary": true
        },
        {
            "code": "2088F0040X",
            "taxonomy_group": "",
            "desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "TN",
            "license": "51681",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "P0719",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q009152",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05856545",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "6026501",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206032001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01453290",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

Verify at the official NPI Registry.