Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JONATHAN CONRAD D'SOUZA MD
NPI 1205097375
Emergency Medicine in Baltimore, MD

Active since June 22, 2008PECOS Enrolled
4128 HAYWARD AVE, BALTIMORE, MD 21215(410) 314-1030(410) 742-6014 Get Directions Write a Review

NPPES record last updated: November 5, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 5, 2026, Aug 8, 2017 (2 updates tracked since 2017).

About Jonathan Conrad D'souza Md NPPES

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

JONATHAN CONRAD D'SOUZA MD (NPI 1205097375) is an individual emergency medicine provider in Baltimore, Maryland, licensed in Virginia (0101249870) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205097375
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJONATHAN CONRAD D'SOUZACredential: MD
Location Address4128 HAYWARD AVEBaltimore, MD 21215-4340
Mailing Address4128 Hayward AveBaltimore, MD 21215-4340 · (410) 314-1030 · Fax (410) 742-6014
Fax(410) 742-6014
Sole ProprietorNo
Enumeration DateJune 22, 2008
Last NPPES UpdateNovember 5, 20262 updates tracked since enumeration
NPPES CertifiedNovember 5, 2026
✔ NPI 1205097375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in VA · 0101249870✔ Licensed in MD · D79880✔ Licensed in DC · MD044502
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
4128 HAYWARD AVE, Baltimore, MD 21215

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Conrad D'souza 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jonathan D'souza reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
6701 N CHARLES ST
Towson, MD 21204
  • Reassigned Medicare billing, Maryland and District of Columbia enrollments
  • Also billed through NPI 1851286041 (District of Columbia)
  • 86 clinicians in this Medicare group
Emergency Medicine
7150 CONTEE RD
Laurel, MD 20707
  • Reassigned Medicare billing, District of Columbia enrollment
  • Medicare enrollment name: Emergency Medicine Associates P.A., P.C.
  • 1,150 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21215 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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 19

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

Social Worker (Clinical)
4128 HAYWARD AVE
BALTIMORE, MD 21215
Nurse Practitioner (Psychiatric/Mental Health)
4128 HAYWARD AVE
BALTIMORE, MD 21215
Social Worker (Clinical)
4128 HAYWARD AVE
BALTIMORE, MD 21215
Nurse Practitioner (Psychiatric/Mental Health)
4128 HAYWARD AVE
BALTIMORE, MD 21215
Social Worker (Clinical)
4128 HAYWARD AVE
BALTIMORE, MD 21215
Counselor (Professional)
4128 HAYWARD AVE
BALTIMORE, MD 21215
Counselor (Mental Health)
4128 HAYWARD AVE
BALTIMORE, MD 21215
Social Worker (Clinical)
4128 HAYWARD AVE
BALTIMORE, MD 21215

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 Jonathan D'souza's NPI number?

The NPI number for Jonathan D'souza is 1205097375. It was assigned to this individual provider in the NPPES registry on June 22, 2008.

Where is Jonathan D'souza located?

Jonathan D'souza practices at 4128 Hayward Ave, Baltimore, MD 21215. The listed phone number is (410) 314-1030.

What is Jonathan D'souza's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jonathan D'souza enrolled in Medicare?

Yes. Jonathan D'souza is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jonathan D'souza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan D'souza reassigns Medicare benefits to 2 organizations: Cep America LLC (Towson, MD) and Emergency Medicine Associates, PA (Laurel, MD). 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 Jonathan D'souza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jonathan D'souza was last updated on November 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.