Active NPI
Rowena A Desouza, M.D.
- Urology Physician
- Cordova, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 51681
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q009152 | Medicaid | TN | |
| 05856545 | Medicaid | MS | |
| 6026501 | Other | TN | BCBS |
| 206032001 | Medicaid | AR | |
| P01453290 | Other | TN | RAILROAD 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
Enrollment records 1
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
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 100
- Quality
- 92.86
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urology Group, PC | Current | Accepting new patients | |
| Urology Group PC | Urology | Current | 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
- rdesouza32085@mlh.direct-ci.com
- 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.
-
- Urology Physician
- Germantown, TN
- NPI 1053346064
-
- Urology Physician
- West Memphis, AR
- NPI 1730621624
-
- Clinical Medical Laboratory
- Marion, AR
- NPI 1184322067
-
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1225723133
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1952326977
-
- General Acute Care Hospital
- Bartlett, TN
- NPI 1811929151
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.