Daniel Anthony D'Souza, D.O.
Individual provider Active NPI Emergency Medicine Physician · Sidney, NY
NPI 1841559622 · NPPES record last updated Nov 28, 2022
Key facts
- NPI
- 1841559622
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 279612 (NY)
- Practice address
- 43 Pearl St W
Sidney, NY 13838-1369 - Phone
- (607) 563-7080
- NPI assigned
- May 14, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mary Imogene Bassett Hospital
Practice addresses (Care Compare)
1 Atwell Rd
Cooperstown, NY 13326-1301
Phone (607) 547-3480
460 Andes Rd
Delhi, NY 13753-7407
Phone (607) 746-0300
Hospital & facility affiliations
- Aurelia Osborn Fox Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.62 of 100
- Quality
- 77.97
- Promoting interoperability
- 98
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151006001500 | NY | Practitioner - Emergency Medicine | 1850609199 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 279612 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D'Souza Osteopathic Medical Arts | Current | Accepting new patients | |
| Mary Imogene Bassett Hospital | Current |
Accepting new patients | |
| Mary Imogene Bassett Hospital | Current |
Accepting new patients |
Locations
178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456
1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480
460 Andes Rd
Delhi, NY 13753
Phone (607) 746-0300
140 Burwell St
Little Falls, NY 13365
Phone (315) 823-1000
43 Pearl St W
Sidney, NY 13838
Phone (607) 561-2000
130 North St
Walton, NY 13856
Phone (607) 865-6541
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 279612 | NY | Yes |
Addresses
Primary practice location
43 Pearl St W
Sidney, NY 13838-1369
Mailing address
1 Atwell Rd
Cooperstown, NY 13326-1301
Phone (607) 547-4762
Other providers in Sidney, NY
- Danica M Capobianco
- Lisa K Carvin
- Rochelle Lee Cherrone
- Lucinda Ellen Corbett
- Bonnie Lynn Crist
- Mackenzie Jane Daly
- Laci Ahne Daniels
- Davis and Nezelek Clinical Counseling
- Kenneth Edward Demott
- Dr George T Roberts Optometrist PLLC
All providers in Sidney, NY · Emergency Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.