KIMBERLY NICOLE ORTIZ DE SOUSA MD
NPI 1093558413
Surgery in Philadelphia, PA

Q: What is Kimberly Ortiz De Sousa's NPI number?

The NPI number for Kimberly Ortiz De Sousa is 1093558413. It was assigned to this individual provider in the NPPES registry on June 13, 2024.

Q: What is Kimberly Ortiz De Sousa's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since June 13, 2024PECOS Enrolled

3401 N BROAD ST, PHILADELPHIA, PA 19140(800) 836-7536 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 19, 2024, Jun 13, 2024 (2 updates tracked since 2024).

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About Kimberly Nicole Ortiz De Sousa Md NPPES

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

KIMBERLY NICOLE ORTIZ DE SOUSA MD (NPI 1093558413) is an individual surgery provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT231711) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093558413

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameKIMBERLY NICOLE ORTIZ DE SOUSACredential: MD

Location Address3401 N BROAD STPhiladelphia, PA 19140-5103

Mailing Address3500 N Broad StPhiladelphia, PA 19140-4106

Phone(800) 836-7536

Sole ProprietorYes

Enumeration DateJune 13, 2024

Last NPPES UpdateJune 19, 20242 updates tracked since enumeration

NPPES CertifiedJune 19, 2024

✔ NPI 1093558413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in PA · MT231711

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

3401 N BROAD ST, Philadelphia, PA 19140

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Nicole Ortiz De Sousa Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19140 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

Most-billed visit code 99213

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 20

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

DR. JAMIE L. GARFIELD MD

Internal Medicine