DANIEL F SOUSA MD
NPI 1285744698
Internal Medicine - Critical Care Medicine in Fall River, MA

Q: What is Daniel Sousa's NPI number?

The NPI number for Daniel Sousa is 1285744698. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Q: What is Daniel Sousa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Sousa was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 August 30, 2006PECOS EnrolledAccepts Medicare Assignment

1030 PRESIDENT AVE, SUITE 210, FALL RIVER, MA 02720(508) 973-1780(508) 973-0359 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Daniel F Sousa Md NPPES

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

DANIEL F SOUSA MD (NPI 1285744698) is an individual critical care medicine provider in Fall River, Massachusetts, licensed in Massachusetts (217398) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Southcoast Hospitals Group, and is a graduate of University Of Vermont College Of Medicine (1997).

NPPES Registry Identity

NPI1285744698

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameDANIEL F SOUSACredential: MD

Location Address1030 PRESIDENT AVE, SUITE 210Fall River, MA 02720-5923

Mailing Address200 Mill Rd, Suite 180Fairhaven, MA 02719-5252 · (508) 973-2000 · Fax (508) 973-2001

Phone(508) 973-1780

Fax(508) 973-0359

Sole ProprietorNo

Medical School CMSUniversity Of Vermont College Of MedicineGraduated 1997

Enumeration DateAugust 30, 2006

Last NPPES UpdateJanuary 22, 2025

NPPES CertifiedJanuary 22, 2025

✔ NPI 1285744698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in MA · 217398

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License MD10789 (RI), 217398 (MA)

1030 PRESIDENT AVE, Fall River, MA 02720

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Other Identifiers 2

Medicaid110038971AMA

MedicaidDS56988RI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Daniel F Sousa 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 ID4486551033

PECOS Enrollment IDI20040727001505, I20041202000674

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 16

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.

721 services433 patients

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.

247 services94 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

168 services74 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

88 services86 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

84 services83 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.

81 services29 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

59 services58 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

59 services58 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

45 services45 patients

Test to examine how well the lungs exchange gases 94729

41 services41 patients

Test to determine lung volumes using sensors 94726

24 services24 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.

20 services20 patients

Test to determine lung volumes using gas dilution or washout 94727

This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.

16 services16 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

15 services15 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

14 services14 patients

Aspiration of fluid from chest cavity using imaging guidance 32555

This procedure, known as a thoracentesis, involves removing fluid from the space between the lungs and chest wall, called the pleural space. It's performed under imaging guidance to ensure precision. It can help diagnose conditions or relieve symptoms like shortness of breath.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Southcoast Hospitals Group

Acute Care Hospitals · Fall River, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220074

Location363 Highland AvenueFall River, MA 02720 · Bristol County

Emergency services Birthing friendly

Newport Hospital

Acute Care Hospitals · Newport, RI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410006

Location11 Friendship StreetNewport, RI 02840 · Newport County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02720 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

$134.47 typical visit price

range $58.86 – $177.36

Typical copayment $33.61 (range $14.71 – $44.34)

Most-billed visit code 99204

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

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 36

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221

DME-Other DME · category DE017N

2 suppliers40 claims160 services$18.75 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

8 suppliers130 claims130 services$33.75 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

4 suppliers21 claims43 services$1.26 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005

DME-Other DME · category DE000N

5 suppliers18 claims18 services$10.06 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

8 suppliers83 claims83 services$77.19 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

8 suppliers80 claims217 services$29.43 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

6 suppliers41 claims235 services$16.92 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

8 suppliers42 claims220 services$13.33 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

10 suppliers83 claims83 services$45.68 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

10 suppliers91 claims91 services$17.19 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

6 suppliers33 claims33 services$12.81 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

11 suppliers165 claims913 services$1.99 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

10 suppliers74 claims74 services$11.15 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers170 claims170 services$14.19 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

2 suppliers37 claims41 services$40.72 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

5 suppliers70 claims70 services$913.48 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

2 suppliers16 claims16 services$75.34 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

2 suppliers49 claims49 services$11.02 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

7 suppliers174 claims174 services$3.30 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

6 suppliers123 claims123 services$28.04 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

9 suppliers359 claims364 services$65.74 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

3 suppliers77 claims79 services$32.88 avg. paid by Medicare

Injection, immune globulin (hizentra), 100 mg J1559

Treatment-Injections and Infusions (nononcologic) · category RI008N

2 suppliers40 claims14,880 services$9.49 avg. paid by Medicare

Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg J1561

Treatment-Injections and Infusions (nononcologic) · category RI008N

1 supplier12 claims720 services$34.45 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

6 suppliers31 claims1,860 services$4.21 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

9 suppliers78 claims5,190 services$6.44 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

26 suppliers116 claims24,375 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

13 suppliers45 claims5,580 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

15 suppliers87 claims6,992 services$0.80 avg. paid by Medicare

Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644

DME-Drugs Administered Through DME · category DG006N

4 suppliers17 claims782 services$0.14 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

4 suppliers44 claims231,000 services$0.15 avg. paid by Medicare

Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552

DME-Other DME · category DE000N

2 suppliers40 claims212 services$2.39 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

4 suppliers47 claims47 services$32.75 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

35 suppliers207 claims207 services$24.27 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 90 days Q0514

DME-Other DME · category DE000N

10 suppliers20 claims20 services$46.94 avg. paid by Medicare

Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration Q2052

Treatment-Chemotherapy · category RH012N

1 supplier11 claims11 services$308.38 avg. paid by Medicare

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

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. LESLIE E STERN M.D.

Neurological Surgery

1030 PRESIDENT AVE, SUITE 306
FALL RIVER, MA 02720

Bristol County (508) 235-6395

KELBY MAHER D.O.

Pediatrics

1030 PRESIDENT AVE
FALL RIVER, MA 02720

Bristol County (508) 679-6833

TERENCE J MCGOVERN MD

Internal Medicine (Critical Care Medicine)

1030 PRESIDENT AVE, SUITE 210
FALL RIVER, MA 02720

Bristol County (508) 973-1780

REGINA SINGLETON N.P.

Nurse Practitioner (Adult Health)

1030 PRESIDENT AVE, SUITE 304
FALL RIVER, MA 02720

Bristol County (508) 235-6222

MARGARET TANG LEE MD

Obstetrics & Gynecology

1030 PRESIDENT AVE
FALL RIVER, MA 02720

Bristol County (508) 676-3411

LAUREL A GAY P.A.

Physician Assistant

1030 PRESIDENT AVE, SUITE 3001
FALL RIVER, MA 02720

Bristol County (508) 676-3411

DR. NICK MUCCIARDI MD

Internal Medicine (Pulmonary Disease)

1030 PRESIDENT AVE, SUITE 210
FALL RIVER, MA 02720

Bristol County (508) 973-1780

DR. HENRY R VAILLANCOURT MD

Family Medicine

1030 PRESIDENT AVE, SUITE 104 SOUTHCOAST PHYSICIAN SERVICES INC
FALL RIVER, MA 02720

Bristol County (508) 676-3411

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 Daniel Sousa's NPI number?

The NPI number for Daniel Sousa is 1285744698. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Daniel Sousa located?

Daniel Sousa practices at 1030 President Ave Suite 210, Fall River, MA 02720. The listed phone number is (508) 973-1780.

What is Daniel Sousa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Daniel Sousa enrolled in Medicare?

Yes. Daniel 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 Daniel Sousa accept?

Health plans from Anthem Blue Cross and Blue Shield list Daniel 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.

Is Daniel Sousa affiliated with any hospitals?

According to CMS data, Daniel Sousa is affiliated with Southcoast Hospitals Group and Newport Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Sousa was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.