MELISSA D'SOUZA M.D
NPI 1366963597
Internal Medicine in Boston, MA

Q: What is Melissa D'souza's NPI number?

The NPI number for Melissa D'souza is 1366963597. It was assigned to this individual provider in the NPPES registry on June 28, 2017.

Q: What is Melissa D'souza's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Melissa D'souza was last updated on December 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 28, 2017PECOS EnrolledAccepts Medicare Assignment

165 CAMBRIDGE ST, BOSTON, MA 02114(617) 726-4600 Get Directions Write a Review

NPPES record last updated: December 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 22, 2020, Jun 28, 2017 (2 updates tracked since 2017).

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About Melissa D'souza M.d NPPES

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

MELISSA D'SOUZA M.D (NPI 1366963597) is an individual internal medicine provider in Boston, Massachusetts, licensed in Massachusetts (283629) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Lawrence General Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1366963597

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameMELISSA D'SOUZACredential: M.D

Location Address165 CAMBRIDGE STBoston, MA 02114-2783

Mailing Address47 New Scotland Avenue, Dept. Of Internal MedicineAlbany, NY 12208 · (518) 262-5377

Phone(617) 726-4600

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 28, 2017

Last NPPES UpdateDecember 22, 20202 updates tracked since enumeration

NPPES CertifiedDecember 22, 2020

✔ NPI 1366963597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MA · 283629

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

165 CAMBRIDGE ST, Boston, MA 02114

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Taro Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Melissa 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 ID5698011914

PECOS Enrollment IDI20230922000972

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

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

Incare Tufts PLLC

21 mi

Internal Medicine

565 TURNPIKE ST STE 85
North Andover, MA 01845

Reassigned Medicare billing, Massachusetts enrollment
57 clinicians in this Medicare group

NPI 1164305611 (978) 689-2247

Incare Lawrence PLLC

21 mi

Pulmonary Disease

565 TURNPIKE ST STE 85
North Andover, MA 01845

Reassigned Medicare billing, Massachusetts enrollment
52 clinicians in this Medicare group

NPI 1730765496 (978) 689-2247

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

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.

438 services171 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.

239 services126 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Lawrence General Hospital

Acute Care Hospitals · Lawrence, MA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220010

LocationOne General StreetLawrence, MA 01842 · Essex County

Emergency services Birthing friendly

St Elizabeth's Medical Center

Acute Care Hospitals · Brighton, MA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number220036

Location736 Cambridge StreetBrighton, MA 02135 · Suffolk County

Emergency services Birthing friendly

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220071

Location55 Fruit StreetBoston, MA 02114 · Suffolk County

Emergency services Birthing friendly

Holy Family Hospital

Acute Care Hospitals · Methuen, MA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number220080

Location70 East StreetMethuen, MA 01844 · Essex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 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

$144.11 typical visit price

range $63.72 – $189.86

Typical copayment $36.02 (range $15.93 – $47.46)

Most-billed visit code 99204

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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 20

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

MARY BATES RN

Registered Nurse (Ambulatory Care)

165 CAMBRIDGE ST, MGH CROHN'S AND COLITIS CENTER
BOSTON, MA 02114

Suffolk County (617) 643-5524

DR. THOMAS JOSEPH BRADY MD

Nuclear Medicine

165 CAMBRIDGE ST, SUITE 400
BOSTON, MA 02114

Suffolk County (617) 726-8313

DR. ELIZABETH A FRIEDLANDER NP, PHD

Nurse Practitioner

165 CAMBRIDGE ST, GI ASSOCIATES AT CHARLES RIVER PLAZA, 9TH FLOOR
BOSTON, MA 02114

Suffolk County (617) 724-6038

ASHIMA CHADHA MD

Internal Medicine (Nephrology)

165 CAMBRIDGE ST
BOSTON, MA 02114

Suffolk County (617) 724-4100

EIMAN GHAFFARPASAND MD

Surgery (Trauma Surgery)

165 CAMBRIDGE ST
BOSTON, MA 02114

Suffolk County (617) 726-4900

MS. JANE LESLIE TAUB N.P.

Nurse Practitioner (Adult Health)

165 CAMBRIDGE ST
BOSTON, MA 02114

Suffolk County (617) 726-3373

EMILY GELSOMIN RD, LDN

Dietitian, Registered

165 CAMBRIDGE ST, SUITE 402
BOSTON, MA 02114

Suffolk County (617) 726-2779

RICHARD BRANDOLINI

Nurse Practitioner (Family)

165 CAMBRIDGE ST, CHARLES RIVER PLAZA, SUITE 404
BOSTON, MA 02114

Suffolk County (617) 724-3910

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 Melissa D'souza's NPI number?

The NPI number for Melissa D'souza is 1366963597. It was assigned to this individual provider in the NPPES registry on June 28, 2017.

Where is Melissa D'souza located?

Melissa D'souza practices at 165 Cambridge St, Boston, MA 02114. The listed phone number is (617) 726-4600.

What is Melissa D'souza's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Melissa D'souza enrolled in Medicare?

Yes. Melissa 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.

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

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa D'souza reassigns Medicare benefits to 2 organizations: Incare Tufts PLLC (North Andover, MA) and Incare Lawrence PLLC (North Andover, MA). 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 Melissa D'souza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa D'souza accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Taro Health and WellSense Health Plan list Melissa 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 Melissa D'souza affiliated with any hospitals?

According to CMS data, Melissa D'souza is affiliated with Lawrence General Hospital, St Elizabeth's Medical Center, Massachusetts General Hospital and Holy Family Hospital.

When was this NPI record last updated?

The NPPES record for Melissa D'souza was last updated on December 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.