Individual provider Active NPI

Jose U Desousa, M.D

  • Specialist
  • Dearborn, MI
National Provider Identifier
1740276377
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4301031739 Issued in MI
Practice address
5141 Oakman Blvd
Dearborn, MI 48126-3714
Phone
(313) 846-8840
Fax
(313) 846-1540
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4301031739 MI Primary

Addresses

Primary practice location

5141 Oakman Blvd
Dearborn, MI 48126-3714

Mailing address

5141 Oakman Blvd
Dearborn, MI 48126-3714
Phone (313) 846-8840

Other identifiers 2

IdentifierTypeStateIssuer
1529922MedicaidMI
382468447OtherMITAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040713001397 MI Practitioner - NeurologyPractitioner - Sleep Medicine 4789662552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Sleep Medicine
Education
Other, 1965
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5141 Oakman Blvd
Dearborn, MI 48126-3763

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oakleaf Neurology & Sleep P C Specialist CurrentSince Jul 1, 1966 Accepting new patients
Rose Neurology, PC Sleep Medicine Past Accepting new patients
Livonia Internal Medicine Associates PC Past Accepting new patients
Universal Health Group, Inc Past Accepting new patients
Universal Health Group, Inc. Past Accepting new patients

Locations

5141 Oakman Blvd
Ste A
Dearborn, MI 48126
Phone (313) 846-8840

5141 Oakman Blvd
Dearborn, MI 48126
Phone (313) 359-8200

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1740276377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5141 OAKMAN BLVD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263714",
            "telephone_number": "313-846-8840",
            "fax_number": "313-846-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5141 OAKMAN BLVD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263714",
            "telephone_number": "313-846-8840",
            "fax_number": "313-846-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESOUSA",
        "first_name": "JOSE",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301031739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1529922",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "382468447",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.