Individual provider Active NPI

Frederico De Souza, MD

  • Diagnostic Radiology Physician
  • Miami, FL
National Provider Identifier
1356587125
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME132332 Issued in FL
Practice address
8900 N Kendall Dr Dept of
Miami, FL 33176-2118
Phone
(786) 596-2314
NPI assigned
Dec 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 227694 MA
Diagnostic Radiology Physician 2085R0202X 21100 MS
Diagnostic Radiology Physician 2085R0202X ME132332 FL Primary

Addresses

Primary practice location

8900 N Kendall Dr Dept of
Miami, FL 33176-2118

Mailing address

PO Box 919336
Orlando, FL 32891-0001
Phone (800) 841-4236

Other identifiers 1

IdentifierTypeStateIssuer
156805MedicaidAL

Other names 1

  • Dr. Frederico Ferreira Souza Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20171004002248 FL Practitioner - Diagnostic Radiology 3577757251 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Outpatient Services IncGroup PAC ID 6002807385, 198 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

10 Giralda Ave
Suite 120
Coral Gables, FL 33134-5303
Phone (786) 467-5052

10125 Glades Rd
Boca Raton, FL 33498-6739
Phone (904) 399-5550

10520 Forest Hill Blvd
Wellington, FL 33414-3179
Phone (561) 204-9355

1228 S Pine Island Rd
Suite 120
Plantation, FL 33324-4580
Phone 95483714204580

13500 SW 152 St
Miami, FL 33177-1111
Phone (904) 399-5550

13500 Sw152Nd St
Suite 120
Miami, FL 33177-1111
Phone (786) 596-4333

13695 US Hwy 1
Sebastian, FL 32958-3230
Phone (904) 399-5550

14660 SW 8TH St
Miami, FL 33184-3135
Phone (904) 399-5550

15885 Pines Blvd
Suite 120
Pembroke Pines, FL 33027-1220
Phone (954) 837-1350

15955 SW 96 St
Miami, FL 33196-1272

19955 NW 27TH Ave
Suite 120
Miami Gardens, FL 33056-2675
Phone (786) 595-1310

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550

20665 Lyons Rd
Boca Raton, FL 33434-3911
Phone (561) 883-6677

20991 Old Cutler Rd
Cutler Bay, FL 33189-2469
Phone (786) 595-1795

240 Crandon Blvd
Suite 110
Key Biscayne, FL 33149-1543
Phone (786) 595-8250

2660 Brickell Ave
Miami, FL 33129-2800
Phone (786) 467-5320

3050 NE 164TH St
Miami, FL 33160-4131
Phone (904) 399-5550

4741 S University Dr
Suite 120
Davie, FL 33328-3819
Phone (954) 837-1060

5000 University Dr
Coral Gables, FL 33146-2008
Phone (904) 399-5550

5673 Coral Ridge Dr
Coral Springs, FL 33076-3124
Phone (954) 837-1480

6200 SW 73 St
South Miami, FL 33143-4679
Phone (904) 399-5550

6240 SW 102ND St
Pinecrest, FL 33156-3358
Phone (904) 399-5550

6264 W Sample Rd
Coral Springs, FL 33067-3273

800 Meadows Rd
Boca Raton, FL 33486-2304
Phone (904) 399-5550

8725 SW 136TH St
Miami, FL 33176-5814

Hospital & facility affiliations

  • Baptist Hospital of Miami Hospital, Miami, FL, CCN 100008
  • South Miami Hospital Hospital, Miami, FL, CCN 100154
  • West Kendall Baptist Hospital Hospital, Miami, FL, CCN 100314
  • Doctors Hospital Hospital, Coral Gables, FL, CCN 100296
  • Homestead Hospital Hospital, Homestead, FL, CCN 100125

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
72.79
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
227694MAMDSpecialist
ME132332FLMDDiagnostic Radiology Physician
21100MSMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Outpatient Services Inc Diagnostic Radiology CurrentSince Sep 10, 2017 Accepting new patients
Baptist Outpatient Services Inc CurrentSince Sep 10, 2017 Accepting new patients
Radiology Associates of South Florida LLC Diagnostic Radiology CurrentSince Jul 1, 2017 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Dec 1, 2021 Accepting new patients

Locations (25 of 35)

1500 NW 10th Ave
Ste 205
Boca Raton, FL 33486
Phone (561) 391-1085

1905 Clint Moore Rd
Ste 119
Boca Raton, FL 33496

1601 Clint Moore Rd
Ste 140
Boca Raton, FL 33487
Phone (561) 447-9341

1500 NW 10th Ave
Ste 103
Boca Raton, FL 33486
Phone (561) 368-2321

690 Meadows Rd
Boca Raton, FL 33486
Phone (561) 955-2131

10125 Glades Rd
Boca Raton, FL 33498
Phone (561) 309-7815

701 NW 13th St
Boca Raton, FL 33486
Phone (561) 955-5966

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

6264 W Sample Rd
Ste 120
Coral Springs, FL 33067
Phone (954) 837-1020

20997 Old Cutler Rd
Cutler Bay, FL 33189
Phone (786) 595-1780

1979 W Hillsboro Blvd
Deerfield Beach, FL 33442
Phone (954) 420-0100

16313 S Military Trl
Delray Beach, FL 33484
Phone (561) 637-7200

9500 NW 58th St
Doral, FL 33178
Phone (786) 595-3600

975 Baptist Way
Homestead, FL 33033
Phone (786) 243-8000

8375 Dix Ellis Trl
Ste 201
Jacksonville, FL 32256
Phone (904) 399-5810

3301 Overseas Hwy
Marathon, FL 33050
Phone (305) 743-5533

1839 San Marco Rd
Marco Island, FL 34145
Phone (239) 394-1670

8950 N Kendall Dr
Ste 504W
Miami, FL 33176
Phone (786) 595-0575

8950 SW 88th St
Miami, FL 33176
Phone (305) 271-8950

14150 SW 136th St
Miami, FL 33186
Phone (786) 204-4600

9555 SW 162nd Ave
Miami, FL 33196
Phone (786) 467-2000

8950 N Kendall Dr
Fl 2
Miami, FL 33176
Phone (786) 596-7200

1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416

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 5

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": "1230508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1356587125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 919336",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328910001",
            "telephone_number": "800-841-4236",
            "fax_number": "706-653-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 N KENDALL DR DEPT OF",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762118",
            "telephone_number": "786-596-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUZA",
        "first_name": "FREDERICO",
        "middle_name": "DE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-29",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "227694",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MS",
            "license": "21100",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME132332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156805",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FREDERICO",
            "last_name": "SOUZA",
            "middle_name": "FERREIRA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.