Active NPI
Hansel Desousa, MD
- Anesthesiology Physician
- Easton, PA
National Provider Identifier
1881695377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD034127E
- Practice address
- 3729 Easton Nazareth Hwy
Easton, PA 18045-8344 - Phone
- (610) 559-7110
- Fax
- (610) 923-9661
- NPI assigned
- Aug 9, 2005
- Last updated
- Jan 9, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD034127E | PA | Primary |
Addresses
Primary practice location
3729 Easton Nazareth Hwy
Easton, PA 18045-8344
Mailing address
3735 Easton Nazareth Hwy
Suite 201
Easton, PA 18045
Phone (610) 438-2427
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010261460017 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD034127E | PA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northampton Infectious Disease Physician Associates, PC | Past | Accepting new patients | |
| Infectious Disease Associates of the Lehigh Valley PC | Past | Accepting new patients | |
| Anesthesia Specialists of Bethlehem, PC | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Bethlehem, PA
- NPI 1851349302
-
- Infectious Disease Physician
- Easton, PA
- NPI 1720198443
-
- Infectious Disease Physician
- Bethlehem, PA
- NPI 1578824884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231459200000",
"number": "1881695377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3735 EASTON NAZARETH HWY",
"address_2": "SUITE 201",
"city": "EASTON",
"state": "PA",
"postal_code": "18045",
"telephone_number": "610-438-2427",
"fax_number": "610-923-9661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3729 EASTON NAZARETH HWY",
"city": "EASTON",
"state": "PA",
"postal_code": "180458344",
"telephone_number": "610-559-7110",
"fax_number": "610-923-9661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESOUSA",
"first_name": "HANSEL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2009-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD034127E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010261460017",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Easton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.