Individual provider Active NPI

Pradeep D'Souza

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1447836366
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
U9885 Issued in TX
Practice address
12245 Richmond Ave
Houston, TX 77082-2518
Phone
(281) 558-6700
NPI assigned
Mar 22, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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 U9885 TX Primary

Addresses

Primary practice location

12245 Richmond Ave
Houston, TX 77082-2518

Mailing address

12245 Richmond Ave
Houston, TX 77082-2518
Phone (281) 558-6700

Other practice location 1

12141 Richmond Ave
Houston, TX 77082-2408
Phone (281) 588-8341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240712003599 TX Practitioner - Family Practice 6507275443 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
College of Osteo Med of the Pacific at Pomona, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richmond Avenue Family Practice Associates PAGroup PAC ID 4880743244, 7 clinicians
Journey Medical Care Group PLLCGroup PAC ID 8628512613, 25 clinicians

Practice addresses (Care Compare)

12245 Richmond Ave
Houston, TX 77082-2518
Phone (281) 558-6700

8313 Southwest Fwy
Suite 105
Houston, TX 77074-1612
Phone (713) 773-1102

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U9885TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Journey Medical Care Group PLLC Family Medicine CurrentSince Jun 1, 2025 Accepting new patients
Richmond Avenue Family Practice Associates PA Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
West Houston Family Practice Family Medicine Current Accepting new patients
Chambers County Public Hospital District No. 1 Past Accepting new patients

Locations

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

12245 Richmond Ave
Houston, TX 77082
Phone (281) 558-5558

8313 Southwest Fwy
Ste 105
Houston, TX 77074
Phone (713) 773-1102

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 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": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1447836366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12245 RICHMOND AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822518",
            "telephone_number": "281-558-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12245 RICHMOND AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822518",
            "telephone_number": "281-558-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12141 Richmond Ave",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770822408",
            "country_code": "US",
            "telephone_number": "281-588-8341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "D'SOUZA",
        "first_name": "PRADEEP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-22",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "U9885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.