DR. SHARLENE LILLIAN D'SOUZA M.D.
NPI 1295821890
Internal Medicine - Gastroenterology in Columbia, MO

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
83.42/100
CMS Quality Rating
ONE HOSPITAL DR, COLUMBIA, MO 65212(573) 884-8445(573) 884-5318 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Sharlene Lillian D'souza M.d. NPPES

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

DR. SHARLENE LILLIAN D'SOUZA M.D. (NPI 1295821890) is an individual gastroenterology provider in Columbia, Missouri, licensed in Missouri (2023035709) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Yakima Valley Memorial, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1295821890
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameDR. SHARLENE LILLIAN D'SOUZACredential: M.D.
Location AddressONE HOSPITAL DRColumbia, MO 65212-0001
Mailing AddressPo Box 843966Kansas City, MO 64184-3966 · (573) 884-3300 · Fax (573) 884-0943
Fax(573) 884-5318
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateOctober 4, 2006
Last NPPES UpdateJuly 22, 2024
NPPES CertifiedJuly 22, 2024
NPI 1295821890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in MO · 2023035709 Licensed in OR · 157748
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
ONE HOSPITAL DR, Columbia, MO 65212

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. Sharlene Lillian D'souza 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.

PECOS PAC ID3476722000
PECOS Enrollment IDI20120815000680, I20240122002702
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 2

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
20 services20 patients
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Yakima Valley Memorial

Acute Care Hospitals · Yakima, WA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500036
Location2811 Tieton DriveYakima, WA 98902 · Yakima County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65212 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

83.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.38
Improvement Activities40
Cost70.91

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.

Nurse Anesthetist, Certified Registered
ONE HOSPITAL DR
COLUMBIA, MO 65212
Anesthesiology
ONE HOSPITAL DR
COLUMBIA, MO 65212
Nurse Practitioner (Family)
ONE HOSPITAL DR
COLUMBIA, MO 65212
Nurse Practitioner (Family)
ONE HOSPITAL DR
COLUMBIA, MO 65212
Internal Medicine (Gastroenterology)
ONE HOSPITAL DR
COLUMBIA, MO 65212
Nurse Anesthetist, Certified Registered
ONE HOSPITAL DR
COLUMBIA, MO 65212
Specialist (Research Study)
ONE HOSPITAL DR
COLUMBIA, MO 65212
Hospitalist
ONE HOSPITAL DR
COLUMBIA, MO 65212

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 Sharlene D'souza's NPI number?

The NPI number for Sharlene D'souza is 1295821890. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Sharlene D'souza located?

Sharlene D'souza practices at One Hospital Dr, Columbia, MO 65212. The listed phone number is (573) 884-8445.

What is Sharlene D'souza's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Sharlene D'souza enrolled in Medicare?

Yes. Sharlene 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.

What insurance does Sharlene D'souza accept?

Health plans from Medica, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Sharlene 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 Sharlene D'souza affiliated with any hospitals?

According to CMS data, Sharlene D'souza is affiliated with Yakima Valley Memorial.

When was this NPI record last updated?

The NPPES record for Sharlene D'souza was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.