JOSE C DE SOUZA MD
NPI 1275534158
Internal Medicine - Endocrinology, Diabetes & Metabolism in Kalispell, MT

Q: What is Jose De Souza's NPI number?

The NPI number for Jose De Souza is 1275534158. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Q: What is Jose De Souza's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Jose De Souza was last updated on February 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 02, 2005PECOS EnrolledAccepts Medicare Assignment

430 WINDWARD WAY STE 100, KALISPELL, MT 59901(406) 751-5364(406) 751-5367 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 20, 2022, Jul 21, 2022, Jun 26, 2020 and 1 more (4 updates tracked since 2017).

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About Jose C De Souza Md NPPES

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

JOSE C DE SOUZA MD (NPI 1275534158) is an individual endocrinology, diabetes & metabolism provider in Kalispell, Montana, licensed in Montana (8767) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Logan Health Medical Center, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1275534158

Entity TypeIndividualMale

Primary Taxonomy207RE0101X

Provider Legal NameJOSE C DE SOUZACredential: MD

Location Address430 WINDWARD WAY STE 100Kalispell, MT 59901-2619

Mailing Address430 Windward Way Ste 100Kalispell, MT 59901-2619 · (406) 751-5364 · Fax (406) 751-5367

Phone(406) 751-5364

Fax(406) 751-5367

Sole ProprietorNo

Medical School CMSOtherGraduated 1985

Enumeration DateAugust 2, 2005

Last NPPES UpdateFebruary 19, 20244 updates tracked since enumeration

NPPES CertifiedFebruary 19, 2024

✔ NPI 1275534158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in MT · 8767

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

430 WINDWARD WAY STE 100, Kalispell, MT 59901

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Other Identifiers 2

Medicaid1275534158MT

Other1275534158MT · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jose C De 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 ID8921057324

PECOS Enrollment IDI20050112000812

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.

Areas of Expertise CMS Part B claims 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

696 services320 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

223 services78 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

73 services73 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

28 services23 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

19 services12 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

12 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Logan Health Medical Center

Acute Care Hospitals · Kalispell, MT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number270051

Location310 Sunnyview LaneKalispell, MT 59901 · Flathead County

Emergency services Birthing friendly

Cabinet Peaks Medical Center

Critical Access Hospitals · Libby, MT

OwnershipVoluntary non-profit - Private

CMS Certification Number271320

Location209 Health Park DrLibby, MT 59923 · Lincoln County

Emergency services

Pondera Medical Center

Critical Access Hospitals · Conrad, MT

OwnershipVoluntary non-profit - Private

CMS Certification Number271324

Location805 Sunset BlvdConrad, MT 59425 · Pondera County

Emergency services

Logan Health - Whitefish

Critical Access Hospitals · Whitefish, MT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number271336

Location1600 Hospital WayWhitefish, MT 59937 · Flathead County

Emergency services Birthing friendly

Northern Montana Hospital

Critical Access Hospitals · Havre, MT

OwnershipVoluntary non-profit - Private

CMS Certification Number271348

Location30 13th StHavre, MT 59501 · Hill County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59901 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

$130.52 typical visit price

range $56.81 – $172.26

Typical copayment $32.63 (range $14.20 – $43.06)

Most-billed visit code 99204

Established Patient

$100.16 typical visit price

range $18.24 – $140.32

Typical copayment $25.04 (range $4.56 – $35.08)

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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224

DME-Other DME · category DE017N

2 suppliers17 claims221 services$18.35 avg. paid by Medicare

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225

DME-Other DME · category DE017N

2 suppliers16 claims480 services$2.40 avg. paid by Medicare

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

17 suppliers76 claims364 services$5.85 avg. paid by Medicare

Insulin for administration through dme (i.e., insulin pump) per 50 units J1817

Treatment-Injections and Infusions (nononcologic) · category RI000N

7 suppliers28 claims2,610 services$6.18 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

10 suppliers227 claims229 services$184.42 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 6

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

DR. ALISON E SCHNEIDER MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)