NPIMap

Individual provider Active NPI

Kenneth D'Souza, M.D.

  • Pulmonary Disease Physician
  • Cincinnati, OH
National Provider Identifier
1366896680
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
35.146519 Issued in OH
Practice address
8000 5 Mile Rd Ste 205
Cincinnati, OH 45230-2190
Phone
(513) 233-6480
Fax
(513) 233-6481
NPI assigned
Apr 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pulmonary Disease Physician 207RP1001X 35.146519 OH Primary

Addresses

Primary practice location

8000 5 Mile Rd Ste 205
Cincinnati, OH 45230-2190

Mailing address

8000 5 Mile Rd Ste 205
Cincinnati, OH 45230-2190
Phone (513) 233-6480

Other practice location 1

4777 E Galbraith Rd
Cincinnati, OH 45236-2725
Phone (513) 686-5446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220927003613 OH Practitioner - Pulmonary Disease 4183000227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8000 5 Mile Rd
Suite 205
Cincinnati, OH 45230-2190
Phone (513) 233-6480

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.146519OHMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati Specialty Care LLC Pulmonary Disease CurrentSince Sep 25, 2022 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 25, 2022 Accepting new patients

Locations

7502 State Rd
Ste 3310
Cincinnati, OH 45255
Phone (513) 233-6480

4777 E Galbraith Rd
Cincinnati, OH 45236
Phone (513) 686-3000

8000 5 Mile Rd
Ste 205
Cincinnati, OH 45230
Phone (513) 233-6480

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

Interoperability endpoints

  • Direct secure messaging: kdsouza225211@direct.bsmhealth.org

Organizations & group practices 2

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 4

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": "1461283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1366896680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 5 MILE RD STE 205",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452302190",
            "telephone_number": "513-233-6480",
            "fax_number": "513-233-6481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 5 MILE RD STE 205",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452302190",
            "telephone_number": "513-233-6480",
            "fax_number": "513-233-6481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4777 E Galbraith Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452362725",
            "country_code": "US",
            "telephone_number": "513-686-5446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "D'SOUZA",
        "first_name": "KENNETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-22",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35.146519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.