NPIMap

Individual provider Active NPI

Netley J Dsouza, MD

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1447299193
Registry record updated Apr 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20377 Issued in AZ
Practice address
7395 E Tanque Verde Rd
Tucson Family Health Suite 215
Tucson, AZ 85715-3475
Phone
(520) 547-2311
Fax
(520) 547-2320
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20377 AZ Primary

Addresses

Primary practice location

7395 E Tanque Verde Rd
Tucson Family Health Suite 215
Tucson, AZ 85715-3475

Mailing address

5055 E Broadway Blvd Ste A100
Arizona Community Physicians PC
Tucson, AZ 85711-3629
Phone (520) 547-4906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, HI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100129000488 AZ Practitioner - Family Practice 0840333852 Reassigns benefits to 1 organization
I20210216003157 HI Practitioner - Family Practice 0840333852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Straub Clinic and HospitalGroup PAC ID 6305759754, 420 clinicians

Practice addresses (Care Compare)

888 S King St
Honolulu, HI 96813-3097
Phone (808) 522-4000

Hospital & facility affiliations

  • Bayada Home Health Care Home health agency, Honolulu, HI, CCN 127310
  • Bristol Hospice - Hawaii, LLC Hospice, Honolulu, HI, CCN 121508
  • Straub Clinic and Hospital Hospital, Honolulu, HI, CCN 120022
  • Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026
  • Kapiolani Medical Center for Women & Children Hospital, Honolulu, HI, CCN 123300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20377AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Community Physician PC CurrentSince Nov 1, 2000 Accepting new patients
Arizona Community Physicians PC Family Medicine Current Accepting new patients
Straub Clinic & Hospital CurrentSince Jan 11, 2021 Accepting new patients
Straub Clinic & Hospital CurrentSince Jan 11, 2021 Accepting new patients
Straub Clinic & Hospital Past Accepting new patients
Emergency Room Associates Limited Past Accepting new patients

Locations

2055 W Hospital Dr
Tucson, AZ 85704
Phone (520) 547-5725

5055 E Broadway Blvd
Ste A100
Tucson, AZ 85711
Phone (520) 327-0460

7395 E Tanque Verde Rd
Tucson, AZ 85715
Phone (520) 355-2900

655 N Alvernon Way
Ste 216
Tucson, AZ 85711

7395 E Tanque Verde Rd
Ste 215
Tucson, AZ 85715
Phone (520) 547-2311

888 S King St
Honolulu, HI 96813
Phone (808) 522-4000

95-1249 Meheula Pkwy
Ste 187
Mililani, HI 96789
Phone (808) 282-6362

Organizations & group practices 6

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 6

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208736000000",
    "number": "1447299193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 E BROADWAY BLVD STE A100",
            "address_2": "ARIZONA COMMUNITY PHYSICIANS PC",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113629",
            "telephone_number": "520-547-4906",
            "fax_number": "520-795-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7395 E TANQUE VERDE RD",
            "address_2": "TUCSON FAMILY HEALTH SUITE 215",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153475",
            "telephone_number": "520-547-2311",
            "fax_number": "520-547-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DSOUZA",
        "first_name": "NETLEY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2008-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "20377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.