DR. CIANDRA D'SOUZA MD
NPI 1184043408
Internal Medicine in Rochester, NY

Q: What is Ciandra D'souza's NPI number?

The NPI number for Ciandra D'souza is 1184043408. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Q: What is Ciandra D'souza's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Ciandra D'souza was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since April 15, 2014PECOS EnrolledAccepts Medicare Assignment

98.59/100

CMS Quality Rating

1000 SOUTH AVE, ROCHESTER, NY 14620(585) 341-6776 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 23, 2018, Mar 17, 2018, Jul 12, 2017 (3 updates tracked since 2017).

On this page

About Dr. Ciandra D'souza Md NPPES

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

DR. CIANDRA D'SOUZA MD (NPI 1184043408) is an individual internal medicine provider in Rochester, New York, licensed in Ohio (35.150964) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1184043408

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. CIANDRA D'SOUZACredential: MD

Location Address1000 SOUTH AVERochester, NY 14620-2733

Mailing Address1000 South AveRochester, NY 14620-2733 · (585) 341-6776

Phone(585) 341-6776

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateApril 15, 2014

Last NPPES UpdateOctober 23, 20243 updates tracked since enumeration

NPPES CertifiedOctober 23, 2024

✔ NPI 1184043408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in OH · 35.150964✔ Licensed in NY · 293502

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1000 SOUTH AVE, Rochester, NY 14620

Open in Google Maps ↗

Secondary Practice Location 1

Location 11000 South AveRochester, NY 14620-2733 · Phone (585) 341-6776

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.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. Ciandra D'souza Md 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 ID9133474976

PECOS Enrollment IDI20241114003969

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 Reassignments

Medicare enrollment records show Ciandra D'souza reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Highland Hospital Of Rochester

Same address

Internal Medicine

1000 SOUTH AVE
Rochester, NY 14620

Reassigned Medicare billing, New York enrollment
303 clinicians in this Medicare group

NPI 1376820241 (585) 473-2200

Internal Medicine Group

1.2 mi

Internal Medicine

601 ELMWOOD AVE
Rochester, NY 14642

Reassigned Medicare billing, New York enrollment
302 clinicians in this Medicare group

NPI 1649220393 (585) 275-4912

Mvhe Inc

399 mi

Family Medicine

4940 COTTONVILLE RD, SUITE 100
Jamestown, OH 45335

Reassigned Medicare billing, Ohio enrollment
744 clinicians in this Medicare group

NPI 1982657318 (937) 675-6830

Upper Valley Professional Corporation

405 mi

Family Medicine

3130 N COUNTY ROAD 25A
Troy, OH 45373

Reassigned Medicare billing, Ohio enrollment
405 clinicians in this Medicare group

NPI 1407872518 (937) 440-7497

Sinclair Physician Services, LLC

414 mi

Hospitalist

1 WYOMING ST
Dayton, OH 45409

Reassigned Medicare billing, Ohio enrollment
270 clinicians in this Medicare group

NPI 1063289601 (937) 208-8000

Hisey Physician Services, LLC

430 mi

Hospitalist

1 MEDICAL CENTER DR
Middletown, OH 45005

Reassigned Medicare billing, Ohio enrollment
263 clinicians in this Medicare group

NPI 1073380614 (513) 974-2111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

190 services75 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

159 services94 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

50 services47 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

45 services44 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360051

LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14620 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

$126.40 typical visit price

range $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.59/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

85.95

Promoting Interoperability

100

Improvement Activities

Cost

76.03

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.

ZAHIR ABU-BAKER B.S.

Pharmacist

1000 SOUTH AVE
ROCHESTER, NY 14620

Monroe County (585) 341-6790

PIERA CARUBIA RD

Dietitian, Registered

1000 SOUTH AVE, BOX 95
ROCHESTER, NY 14620

Monroe County (585) 341-0695

DR. ALEXIS PLATEK MD

Obstetrics & Gynecology

1000 SOUTH AVE
ROCHESTER, NY 14620

Monroe County (585) 341-0598

MISS LINDA MARIE SIRIANNI RD CDE CDN

Dietitian, Registered

1000 SOUTH AVE
ROCHESTER, NY 14620

Monroe County (585) 341-6807

AMY OSGANIAN NP

Nurse Practitioner (Gerontology)

1000 SOUTH AVE
ROCHESTER, NY 14620

Monroe County (585) 341-0963

BRIAN MAGOVNEY MD

Internal Medicine

1000 SOUTH AVE
ROCHESTER, NY 14620

Monroe County (585) 473-2200

DR. TULSI DASS

Specialist

1000 SOUTH AVE, # 95
ROCHESTER, NY 14620

Monroe County (585) 442-3115

RICHARD ALLEN CRNA

Nurse Anesthetist, Certified Registered

1000 SOUTH AVE
ROCHESTER, NY 14620

Monroe County (585) 341-6267

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 Ciandra D'souza's NPI number?

The NPI number for Ciandra D'souza is 1184043408. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Where is Ciandra D'souza located?

Ciandra D'souza practices at 1000 South Ave, Rochester, NY 14620. The listed phone number is (585) 341-6776.

What is Ciandra D'souza's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ciandra D'souza enrolled in Medicare?

Yes. Ciandra D'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 organizations bill Medicare for Ciandra D'souza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ciandra D'souza reassigns Medicare benefits to 6 organizations: Highland Hospital Of Rochester (Rochester, NY), Internal Medicine Group (Rochester, NY), Mvhe Inc (Jamestown, OH), Upper Valley Professional Corporation (Troy, OH), Sinclair Physician Services, LLC (Dayton, OH) and 1 more organization, listed in the Medicare section above. Each 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 Ciandra D'souza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ciandra D'souza accept?

Health plans from CareSource and MedMutual list Ciandra D'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 Ciandra D'souza affiliated with any hospitals?

According to CMS data, Ciandra D'souza is affiliated with Miami Valley Hospital.

When was this NPI record last updated?

The NPPES record for Ciandra D'souza was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.