Individual provider Active NPI

Karine Desouza, MBBS

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1689293250
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME160521 Issued in FL
Practice address
1246 Ray Charles Blvd
Tampa, FL 33602-3028
Phone
(727) 753-7787
Fax
(833) 471-3023
NPI assigned
Apr 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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 ME160521 FL Primary

Addresses

Primary practice location

1246 Ray Charles Blvd
Tampa, FL 33602-3028

Mailing address

1246 Ray Charles Blvd
Tampa, FL 33602-3028
Phone (727) 753-7787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230731002083 FL Practitioner - Family Practice 9830550383 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sports and Orthopedic Rehabilitation Services IncGroup PAC ID 0840104253, shared by 4 NPIs, 314 clinicians
A. Luis LLCGroup PAC ID 8628434503, 4 clinicians

Practice addresses (Care Compare)

2701 W Saint Isabel St
Wellmed at Bayside
Tampa, FL 33607-6382
Phone (813) 876-9961

3411 S Dale Mabry Hwy
Suite a Select Physical Therapy
Tampa, FL 33629-8658
Phone (813) 742-9501

7800 66TH St N
Suite 204
Pinellas Park, FL 33781-2101
Phone (727) 753-7787

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME160521FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A. Luis LLC CurrentSince Nov 3, 2025 Accepting new patients
Wellmed Medical Management of Florida Inc Family Medicine CurrentSince Aug 14, 2023 Accepting new patients

Locations

7800 66th St N
Ste 204
Pinellas Park, FL 33781
Phone (727) 545-8769

2155 SE Federal Hwy
Stuart, FL 34994
Phone (772) 223-9630

2701 W Saint Isabel St
Tampa, FL 33607
Phone (813) 348-3846

1246 Ray Charles Blvd
Tampa, FL 33602
Phone (727) 753-7787

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 2

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": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1689293250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1246 RAY CHARLES BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336023028",
            "telephone_number": "727-753-7787",
            "fax_number": "883-471-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1246 RAY CHARLES BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336023028",
            "telephone_number": "727-753-7787",
            "fax_number": "833-471-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESOUZA",
        "first_name": "KARINE",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME160521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.