NPIMap

Individual provider Active NPI

Tamara Gizelle De Souza, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Miami, FL
National Provider Identifier
1881154631
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME167344 Issued in FL
Practice address
1450 NW 10TH Ave FL 1
Miami, FL 33136-1011
Phone
(305) 243-3636
NPI assigned
Mar 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME167344 FL
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME167344 FL Primary

Addresses

Primary practice location

1450 NW 10TH Ave FL 1
Miami, FL 33136-1011

Mailing address

1450 NW 10TH Ave FL 1
Miami, FL 33136-1011
Phone (305) 243-3636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240813003169 FL Practitioner - EndocrinologyPractitioner - Internal Medicine 8022492438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

Practice addresses (Care Compare)

1450 NW 10TH Ave 1St FL
Diabetes Research Institute
Miami, FL 33136-1011
Phone (305) 243-4000

Hospital & facility affiliations

  • Univ of Miami Hospital and Clinics-Sylvester Compr Hospital, Miami, FL, CCN 100079
  • Jackson Health System Hospital, Miami, FL, CCN 100022

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
University of Miami Endocrinology, Diabetes & Metabolism CurrentSince Aug 1, 2024 Accepting new patients
University of Miami Current Accepting new patients
University of Miami Past Accepting new patients

Locations

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1600 NW 10th Ave
#1140
Miami, FL 33136
Phone (305) 243-1842

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

1450 NW 10th Ave
Miami, FL 33136
Phone (305) 243-6061

1611 NW 12th Ave
Ste 600B
Miami, FL 33136
Phone (305) 355-1303

1475 NW 12th Ave
Fl 3
Miami, FL 33136
Phone (305) 243-2363

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1450 NW 10th Ave
Fl 1
Miami, FL 33136
Phone (305) 243-2920

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.

Hospital & facility affiliations 24

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1881154631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 NW 10TH AVE FL 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361011",
            "telephone_number": "305-243-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 NW 10TH AVE FL 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361011",
            "telephone_number": "305-243-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE SOUZA",
        "first_name": "TAMARA",
        "middle_name": "GIZELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME167344",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME167344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.