Active NPI
Lionel S. D'Souza, MD
- Gastroenterology Physician
- East Setauket, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 272023
- Practice address
- 3 Technology Dr
East Setauket, NY 11733-4064 - Phone
- (631) 444-5220
- Fax
- (631) 444-5225
- NPI assigned
- Jun 10, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 272023 | NY | Primary |
Addresses
Primary practice location
3 Technology Dr
East Setauket, NY 11733-4064
Mailing address
PO Box 1554
Stony Brook, NY 11790-0988
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
17 E 102ND St
New York, NY 10029-5204
Phone (212) 861-2000
Hospital & facility affiliations
- Mount Sinai Hospital
- Mount Sinai West
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 29 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 192 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 272023 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospital at Stony Brook | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Gastroenterology | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Bimc Faculty Practice | Past | Accepting new patients |
Locations
10 Union Sq E
#3
New York, NY 10003
Phone (212) 420-4145
5 E 98th St
New York, NY 10029
Phone (212) 241-3986
17 E 102nd St
New York, NY 10029
Phone (212) 241-7968
100 Nicolls Rd
#13202
Stony Brook, NY 11794
100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- lionel.dsouza@direct.stonybrookmedicine.edu
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.
-
- Gastroenterology Physician
- New York, NY
- NPI 1730440777
-
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
-
- Neurology Physician
- New York, NY
- NPI 1891848461
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Long Island City, NY
- NPI 1245248939
-
- Rehabilitation Hospital
- New York, NY
- NPI 1669440327
-
- General Acute Care Hospital
- New York, NY
- NPI 1932103413
-
- General Acute Care Hospital
- New York, NY
- NPI 1225295512
-
- General Acute Care Hospital
- New York, NY
- NPI 1104982917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500940800000",
"number": "1679733182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1554",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117900988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 TECHNOLOGY DR",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117334064",
"telephone_number": "631-444-5220",
"fax_number": "631-444-5225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'SOUZA",
"first_name": "LIONEL",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-10",
"last_updated": "2017-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "272023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Setauket, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.