KENITH DSOUZA
NPI 1013619733
Student in an Organized Health Care Education/Training Program in Orange Park, FL
About Kenith Dsouza NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENITH DSOUZA (NPI 1013619733) is an individual student in an organized health care education/training program in Orange Park, Florida and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Orange Park Hospital, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kenith Dsouza is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kenith Dsouza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Winter Haven, FL 33881
- Reassigned Medicare billing, Florida enrollment
- 1,065 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hca Florida Orange Park Hospital
Acute Care Hospitals · Orange Park, FLOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ORANGE PARK, FL 32073
ORANGE PARK, FL 32073
ORANGE PARK, FL 32073
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kenith Dsouza's NPI number?
The NPI number for Kenith Dsouza is 1013619733. It was assigned to this individual provider in the NPPES registry on March 17, 2023.
Where is Kenith Dsouza located?
Kenith Dsouza practices at 2001 Kingsley Ave, Orange Park, FL 32073. The listed phone number is (904) 639-2003.
What is Kenith Dsouza's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Kenith Dsouza enrolled in Medicare?
Yes. Kenith Dsouza is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kenith Dsouza's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenith Dsouza reassigns Medicare benefits to Paragon Emergency Services LLC (Winter Haven, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenith Dsouza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kenith Dsouza affiliated with any hospitals?
According to CMS data, Kenith Dsouza is affiliated with Hca Florida Orange Park Hospital.
When was this NPI record last updated?
The NPPES record for Kenith Dsouza was last updated on March 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kenith Dsouza · NPI 1013619733
Student in an Organized Health Care Education/Training Program provider in Orange Park, Florida. Individual provider, active in the CMS NPPES registry since March 17, 2023.
## Identity
- **NPI:** 1013619733 (Entity type: Individual)
- **Enumerated:** March 17, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 2001 KINGSLEY AVE, Orange Park, FL 32073-5148
- **Phone:** (904) 639-2003
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Paragon Emergency Services LLC (NPI 1912101650, Winter Haven, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** March 17, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1013619733) · Data from the CMS NPPES public registry.