DR. LIONEL S. D'SOUZA MD
NPI 1679733182
Internal Medicine - Gastroenterology in East Setauket, NY

Active since June 10, 2008PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
3 TECHNOLOGY DR, EAST SETAUKET, NY 11733(631) 444-5220(631) 444-5225 Get Directions Write a Review

NPPES record last updated: July 25, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lionel S. D'souza Md NPPES

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

DR. LIONEL S. D'SOUZA MD (NPI 1679733182) is an individual gastroenterology provider in East Setauket, New York, licensed in New York (272023) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1679733182
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. LIONEL S. D'SOUZACredential: MD
Location Address3 TECHNOLOGY DREast Setauket, NY 11733-4064
Mailing AddressPo Box 1554Stony Brook, NY 11790-0988
Fax(631) 444-5225
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJune 10, 2008
Last NPPES UpdateJuly 25, 2017
NPI 1679733182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in NY · 272023
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.
3 TECHNOLOGY DR, East Setauket, NY 11733

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. Lionel S. D'souza 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 ID3476741943
PECOS Enrollment IDI20101228000312
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 30

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.

Review by radiologist of image from tube placement into bile duct using an endoscope 74328
This procedure involves a specialist, called a radiologist, examining an image taken during a tube placement into your bile duct. The tube is inserted with the help of a tool called an endoscope. This allows the doctor to check for any issues or abnormalities in your bile duct.
81 services73 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
75 services70 patients
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.
55 services52 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.
55 services54 patients
Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 43264
This procedure, called an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible tube with a camera (endoscope) to locate and remove stones or debris from your bile or pancreatic duct. It's a non-surgical method to clear the ducts, enhancing your digestive health.
53 services50 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.
53 services53 patients

Hospital Affiliations CMS Care Compare 2

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

Mount Sinai Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330024
LocationOne Gustave L Levy PlaceNew York, NY 10029 · New York County
Emergency services Birthing friendly

Mount Sinai St Luke's Roosevelt Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330046
Location1000 Tenth AvenueNew York, NY 10019 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11733 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 18

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

Internal Medicine (Gastroenterology)
3 TECHNOLOGY DR
EAST SETAUKET, NY 11733
Nurse Practitioner (Adult Health)
3 TECHNOLOGY DR, SUITE 700
EAST SETAUKET, NY 11733
Internal Medicine
3 TECHNOLOGY DR, STONY BROOK INTERNISTS, UFPC
EAST SETAUKET, NY 11733
Nurse Practitioner (Family)
3 TECHNOLOGY DR
EAST SETAUKET, NY 11733
Internal Medicine (Gastroenterology)
3 TECHNOLOGY DR
EAST SETAUKET, NY 11733
Internal Medicine (Gastroenterology)
3 TECHNOLOGY DR
EAST SETAUKET, NY 11733
Internal Medicine (Gastroenterology)
3 TECHNOLOGY DR
EAST SETAUKET, NY 11733
Internal Medicine (Gastroenterology)
3 TECHNOLOGY DR
EAST SETAUKET, NY 11733

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 Lionel D'souza's NPI number?

The NPI number for Lionel D'souza is 1679733182. It was assigned to this individual provider in the NPPES registry on June 10, 2008.

Where is Lionel D'souza located?

Lionel D'souza practices at 3 Technology Dr, East Setauket, NY 11733. The listed phone number is (631) 444-5220.

What is Lionel D'souza's specialty?

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

Is Lionel D'souza enrolled in Medicare?

Yes. Lionel 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.

Is Lionel D'souza affiliated with any hospitals?

According to CMS data, Lionel D'souza is affiliated with Mount Sinai Hospital and Mount Sinai St Luke's Roosevelt Hospital.

When was this NPI record last updated?

The NPPES record for Lionel D'souza was last updated on July 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.