DR. PAUL SOUSA M.D.
NPI 1275915332
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Buckeye, AZ
About Dr. Paul Sousa M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PAUL SOUSA M.D. (NPI 1275915332) is an individual adult reconstructive orthopaedic surgery provider in Buckeye, Arizona, licensed in Arizona (62644) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Goodyear, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Dr. Paul Sousa 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.
Areas of Expertise CMS Part B claims 29
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.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BUCKEYE, AZ 85326
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 Paul Sousa's NPI number?
The NPI number for Paul Sousa is 1275915332. It was assigned to this individual provider in the NPPES registry on June 25, 2015.
Where is Paul Sousa located?
Paul Sousa practices at 21250 W Roosevelt St Suite 106, Buckeye, AZ 85326. The listed phone number is (602) 648-5444.
What is Paul Sousa's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.
Is Paul Sousa enrolled in Medicare?
Yes. Paul Sousa 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.
What insurance does Paul Sousa accept?
Health plans from Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Paul Sousa 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.
When was this NPI record last updated?
The NPPES record for Paul Sousa was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.