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DR. ANDRE LUIZ PITANGA BASTOS DE SOUZA M.D
NPI 1053676627
Internal Medicine - Hematology & Oncology in Oklahoma City, OK

Active since July 10, 2012PECOS EnrolledAccepts Medicare Assignment
800 NE 10TH ST STE B, OKLAHOMA CITY, OK 73104(405) 271-4022(405) 271-3020 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 30, 2025, Jul 18, 2018 (2 updates tracked since 2018).

About Dr. Andre Luiz Pitanga Bastos De Souza M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANDRE LUIZ PITANGA BASTOS DE SOUZA M.D (NPI 1053676627) is an individual hematology & oncology provider in Oklahoma City, Oklahoma, licensed in Oklahoma (46042) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with O U Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053676627
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. ANDRE LUIZ PITANGA BASTOS DE SOUZACredential: M.D
Location Address800 NE 10TH ST STE BOklahoma City, OK 73104-5418
Mailing Address515 Central Park Dr Ste 5009Oklahoma City, OK 73105-1724 · (405) 764-8066 · Fax (405) 271-1001
Phone(405) 271-4022
Fax(405) 271-3020
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 10, 2012
Last NPPES UpdateDecember 30, 20252 updates tracked since enumeration
NPPES CertifiedDecember 30, 2025
✔ NPI 1053676627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in OK · 46042✔ Licensed in RI · MD16354
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
800 NE 10TH ST STE B, Oklahoma City, OK 73104
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1593 Eddy Street, APC MainProvidence, RI 02903 · Phone (401) 444-5435 · Fax (401) 444-8301
Location 2825 Chalkstone AveProvidence, RI 02908 · Phone (401) 456-5790

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Mending Health.Insurance ›

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

Dr. Andre Luiz Pitanga Bastos De Souza M.d 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.

PECOS PAC ID4486903754
PECOS Enrollment IDI20251229000998
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Andre De Souza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ou Health Partners, Inc
0.2 mi
Multi-Specialty
1200 CHILDRENS AVE STE 11200
Oklahoma City, OK 73104
  • Reassigned Medicare billing, Oklahoma enrollment
  • 1,795 clinicians in this Medicare group
NPI 1528642642 (405) 271-3932

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.

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370093
Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$162.61 typical visit price
range $53.00 – $162.61
Typical copayment $40.65 (range $13.25 – $40.65)
Most-billed visit code 99205
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YUBIN KANG M.D.
Internal Medicine (Hematology)
800 NE 10TH ST STE B
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4022
ANGELA GAYLE PINKSTON APRN-CNP
Nurse Practitioner (Family)
800 NE 10TH ST STE B
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-7867
MUHAMMAD FURQAN M.D
Internal Medicine (Medical Oncology)
800 NE 10TH ST STE B
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4022
MASON JAMES WEBB MD, PHD
Internal Medicine (Hematology & Oncology)
800 NE 10TH ST STE B
OKLAHOMA CITY, OK 73104
Oklahoma County (572) 244-0111
MRS. MAMIE ALICIA THOMPSON RD
Dietitian, Registered
800 NE 10TH ST STE B
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4022

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 Andre De Souza's NPI number?

The NPI number for Andre De Souza is 1053676627. It was assigned to this individual provider in the NPPES registry on July 10, 2012.

Where is Andre De Souza located?

Andre De Souza practices at 800 NE 10th St Ste B, Oklahoma City, OK 73104. The listed phone number is (405) 271-4022.

What is Andre De Souza's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Andre De Souza enrolled in Medicare?

Yes. Andre De Souza 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 Andre De Souza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andre De Souza reassigns Medicare benefits to Ou Health Partners, Inc (Oklahoma City, OK). 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 Andre De Souza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andre De Souza accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health list Andre De Souza as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Andre De Souza affiliated with any hospitals?

According to CMS data, Andre De Souza is affiliated with O U Medical Center.

When was this NPI record last updated?

The NPPES record for Andre De Souza was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.