Individual provider Active NPI

Melwyn S D'Souza, MD

  • Internal Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1972519924
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME89047 Issued in FL
Practice address
13440 Parker Commons Blvd
Suite Number 105
Fort Myers, FL 33912-1816
Phone
(239) 225-6304
Fax
(239) 225-6303
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME89047 FL Primary

Addresses

Primary practice location

13440 Parker Commons Blvd
Suite Number 105
Fort Myers, FL 33912-1816

Mailing address

13440 Parker Commons Blvd
Suite Number 105
Fort Myers, FL 33912-1816
Phone (239) 225-6304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040818001049 FL Practitioner - Internal Medicine 4385617109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gulfcoast MD PAGroup PAC ID 8527132661, 2 clinicians

Practice addresses (Care Compare)

13440 Parker Commons Blvd
Suite 105
Fort Myers, FL 33912-1816
Phone (239) 225-6304

Hospital & facility affiliations

  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012
  • Physicians Regional Medical Center - Pine Ridge Hospital, Naples, FL, CCN 100286

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME89047FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulfcoast MD PA Internal Medicine CurrentSince May 1, 2008 Accepting new patients
Medical Resources, LLC Past Accepting new patients

Locations

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

13440 Parker Commons Blvd
Ste 105
Fort Myers, FL 33912

1205 Piper Blvd
Ste 104
Naples, FL 34110

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1972519924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13440 PARKER COMMONS BLVD",
            "address_2": "SUITE NUMBER 105",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121816",
            "telephone_number": "239-225-6304",
            "fax_number": "239-225-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13440 PARKER COMMONS BLVD",
            "address_2": "SUITE NUMBER 105",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121816",
            "telephone_number": "239-225-6304",
            "fax_number": "239-225-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'SOUZA",
        "first_name": "MELWYN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME89047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.