Amita De Souza, M.D.

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

License

D77575 Issued in MD

Practice address

6000 Executive Blvd Ste 312
N Bethesda, MD 20852-3803

Phone

(240) 553-5003

Fax

(240) 553-5005

NPI assigned

Apr 5, 2011

Last updated

Oct 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amita.de.souza.2@8042.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

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.

• Sinai Hospital of Baltimore Inc

  • Surgical Critical Care Physician
  • Baltimore, MD
  • NPI 1043235666
  Medicare reassignment NPD
• Privia Care Center LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1164874426

  DC, Pediatrics

  Medicare reassignment NPD
• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480

  DC, Pediatrics

  Medicare reassignment NPD
• Thrive and Grow Pediatric Endocrinology, LLC

  • Pediatric Endocrinology Physician
  • N Bethesda, MD
  • NPI 1548096084
  NPD Authorized official
• Privia Care Center LLC

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1730664012

  Pediatrics

  NPD
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD
• Sinai Hospital of Baltimore Inc

  • Pediatric Endocrinology Physician
  • Baltimore, MD
  • NPI 1710087481
  NPD
• Sinai Hospital of Baltimore, Inc.

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1285672204
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Nova Physician Wellness Center PLLC

  • Family Medicine Physician
  • Fairfax, VA
  • NPI 1215307400
  NPD (past)
• Uptown Pediatrics

  • Pediatrics Physician
  • New York, NY
  • NPI 1619016854
  NPD (past)

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1912296492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 EXECUTIVE BLVD STE 312",
            "city": "N BETHESDA",
            "state": "MD",
            "postal_code": "208523803",
            "telephone_number": "240-553-5003",
            "fax_number": "240-553-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 EXECUTIVE BLVD STE 312",
            "city": "N BETHESDA",
            "state": "MD",
            "postal_code": "208523803",
            "telephone_number": "240-553-5003",
            "fax_number": "240-553-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE SOUZA",
        "first_name": "AMITA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-05",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "MD",
            "license": "D77575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Privia",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6000 Executive Blvd Ste 312",
            "city": "N Bethesda",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208523803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hallie Bulkin, MA, CCC-SLP
• Laura Carlson, M,A., CCC-SLP
• Charity Eye Care and Surgery Center
• Comprehensive Integrative Dentistry
• DC Eye
• Sharon Duchesneau, MA, LCPC
• Theresa Escoffery, LMT
• Nicole Filipe, M.A.
• Galen Nutrition LLC (Galen)
• Beryl Herda, M.S., CCC-SLP

• Pediatric Endocrinology Physician in N Bethesda, MD
• Providers in N Bethesda, MD by specialty
• Pediatric Endocrinology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.

Verify at the official NPI Registry.