NPIMap

Individual provider Active NPI

Raynita C D'Souza, MD

  • Internal Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1467468579
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME89048 Issued in FL
Practice address
13440 Parker Commons Blvd
Suite 105
Fort Myers, FL 33912-1816
Phone
(239) 225-6304
Fax
(239) 225-6303
NPI assigned
Jul 31, 2006
Last updated
Apr 17, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME89048 FL Primary

Addresses

Primary practice location

13440 Parker Commons Blvd
Suite 105
Fort Myers, FL 33912-1816

Mailing address

13440 Parker Commons Blvd
Suite 105
Fort Myers, FL 33912-1816
Phone (239) 225-6304

Other identifiers 1

IdentifierTypeStateIssuer
U2910YOtherFLMEDICARE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040817001105 FL Practitioner - Internal Medicine 3274506225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gulfcoast MD PAGroup PAC ID 8527132661, 2 clinicians

Practice addresses (Care Compare)

13440 Parker Commons Blvd
Suite 105
Fort Myers, FL 33912-1816
Phone (239) 225-6304

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gulfcoast MD PA Internal Medicine CurrentSince May 1, 2008 Accepting new patients
Medical Resources, LLC Past Accepting new patients

Locations

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

13440 Parker Commons Blvd
Ste 105
Fort Myers, FL 33912

1205 Piper Blvd
Ste 104
Naples, FL 34110

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1467468579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13440 PARKER COMMONS BLVD",
            "address_2": "SUITE 105",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121816",
            "telephone_number": "239-225-6304",
            "fax_number": "239-225-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13440 PARKER COMMONS BLVD",
            "address_2": "SUITE 105",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121816",
            "telephone_number": "239-225-6304",
            "fax_number": "239-225-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'SOUZA",
        "first_name": "RAYNITA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME89048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "U2910Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.