TANNER SOUZA DO
NPI 1447837166
Family Medicine in Coeur D Alene, ID

Q: What is Tanner Souza's NPI number?

The NPI number for Tanner Souza is 1447837166. It was assigned to this individual provider in the NPPES registry on March 27, 2021.

Q: What is Tanner Souza's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Tanner Souza was last updated on August 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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 March 27, 2021PECOS EnrolledAccepts Medicare Assignment

1130 W PRAIRIE AVE, COEUR D ALENE, ID 83815(208) 209-0288(208) 209-0289 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 23, 2024, Oct 7, 2023, Mar 27, 2021 (3 updates tracked since 2021).

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About Tanner Souza Do NPPES

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

TANNER SOUZA DO (NPI 1447837166) is an individual family medicine provider in Coeur D Alene, Idaho, licensed in Idaho (0-1993) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Kootenai Health, and maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1447837166

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameTANNER SOUZACredential: DO

Location Address1130 W PRAIRIE AVECoeur D Alene, ID 83815-8780

Mailing AddressPo Box 1517Pendleton, OR 97801-0410 · (541) 278-4332

Phone(208) 209-0288

Fax(208) 209-0289

Sole ProprietorNo

Medical School CMSTouro Un Col Of Osteopathic Medicine, HendersonGraduated 2021

Enumeration DateMarch 27, 2021

Last NPPES UpdateAugust 23, 20243 updates tracked since enumeration

NPPES CertifiedAugust 23, 2024

✔ NPI 1447837166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ID · 0-1993

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedGeneral PracticeTaxonomy 208D00000X · License DO3477 (NV)

1130 W PRAIRIE AVE, Coeur D Alene, ID 83815

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Secondary Practice Location 1

Location 16655 S Cimarron Rd Ste 100Las Vegas, NV 89113-2181 · Phone (702) 853-3561

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Tanner Souza Do 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 ID8729476676

PECOS Enrollment IDI20240919003808

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 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.

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.

50 services40 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

31 services31 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Kootenai Health

Acute Care Hospitals · Coeur D'alene, ID

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number130049

Location2003 Kootenai Health WayCoeur D'alene, ID 83814 · Kootenai County

Emergency services Birthing friendly

Northwest Specialty Hospital

Acute Care Hospitals · Post Falls, ID

OwnershipProprietary

CMS Certification Number130066

Location1593 East Polston AvenuePost Falls, ID 83854 · Kootenai County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83815 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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 11

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

DR. STEPHEN PAUL SMILEY MD

Family Medicine