Active NPI
Steven J Souza, M.D.
- Vascular & Interventional Radiology Physician
- Murray, UT
National Provider Identifier
1770523854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 370006-1205
- Practice address
- 5444 Green St
Murray, UT 84123-5632 - Phone
- (801) 262-8120
- Fax
- (801) 262-5721
- NPI assigned
- Jun 7, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 370006-1205 | UT | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 370006-1205 | UT | Primary |
| Diagnostic Radiology Physician | 2085R0202X | M-8452 | ID |
Addresses
Primary practice location
5444 Green St
Murray, UT 84123-5632
Mailing address
5444 Green St
Murray, UT 84123-5632
Phone (801) 262-2647
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D6205 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-8452 | ID | MD | Diagnostic Radiology Physician |
| 370006-1205 | UT | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Medical Physician Specialists PC | Diagnostic Radiology | Current | Accepting new patients |
| Ocala Orthopaedic Group PA | Past | Accepting new patients |
Locations
1501 Hiland Ave
Burley, ID 83318
Phone (208) 678-4444
355 N Main St
Kanab, UT 84741
Phone (435) 644-4100
5323 S Woodrow St
Salt Lake City, UT 84107
Phone (801) 261-8346
5444 S Green St
Salt Lake City, UT 84123
Phone (801) 262-2647
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.
-
- Diagnostic Radiology Physician
- Murray, UT
- NPI 1720035520
-
- Orthopaedic Surgery Physician
- Ocala, FL
- NPI 1841297538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346889600000",
"number": "1770523854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5444 GREEN ST",
"city": "MURRAY",
"state": "UT",
"postal_code": "841235632",
"telephone_number": "801-262-2647",
"fax_number": "801-262-3897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5444 GREEN ST",
"city": "MURRAY",
"state": "UT",
"postal_code": "841235632",
"telephone_number": "801-262-8120",
"fax_number": "801-262-5721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUZA",
"first_name": "STEVEN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2012-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "UT",
"license": "370006-1205",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "UT",
"license": "370006-1205",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "ID",
"license": "M-8452",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D6205",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.