1. Home
  2. Directory
  3. Missouri
  4. Saint Louis
  5. Pediatrics
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

TABITHA D'SOUZA MD
NPI 1699234997
Pediatrics - Developmental - Behavioral Pediatrics in Saint Louis, MO

Active since March 16, 2019PECOS Enrolled
1465 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 617-2000 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 24, 2026, Jul 9, 2026, May 19, 2025 and 2 more (5 updates tracked since 2019).

About Tabitha D'souza Md NPPES

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

TABITHA D'SOUZA MD (NPI 1699234997) is an individual developmental - behavioral pediatrics provider in Saint Louis, Missouri, licensed in Missouri (2025022352) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in St Louis.

NPPES Registry Identity

NPI1699234997
Entity TypeIndividualFemale
Primary Taxonomy2080P0006X
Provider Legal NameTABITHA D'SOUZACredential: MD
Location Address1465 S GRAND BLVDSaint Louis, MO 63104-1003
Mailing AddressWusm Peds, 1 Childrens Pl Msc 8116-0043-08St. Louis, MO 63110 · (314) 454-4826 · Fax (314) 454-4633
Phone(314) 617-2000
Sole ProprietorNo
Enumeration DateMarch 16, 2019
Last NPPES UpdateJuly 24, 20265 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
✔ NPI 1699234997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
License✔ Licensed in MO · 2025022352
Definition
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Also ListedPediatricsTaxonomy 208000000X · License 2025022352 (MO)
1465 S GRAND BLVD, Saint Louis, MO 63104
Open in Google Maps ↗

Secondary Practice Location 1

Location 1WUSM PEDS, 1 CHILDRENS PL MSC 8116-0043-08ST LOUIS, MO 63110 · Phone (314) 454-4826 · Fax (314) 454-4633

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tabitha D'souza Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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. SARAH MARGARET HANLY PH.D.
Psychologist (Clinical)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5667
KAVIPRIYA KOMESWARAN
Pediatrics (Pediatric Critical Care Medicine)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 617-2000
ALEXIS HAAS STEWART
Anesthesiologist Assistant
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-5700
NATALIE DRURY RD, LD
Dietitian, Registered (Nutrition, Pediatric)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5387
TIMOTHY J KUTZ MD
Pediatrics (Child Abuse Pediatrics)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 268-6406
CHRISTOPHER SALLEE MD
Pediatrics
1465 S GRAND BLVD
ST. LOUIS, MO 63104
St. Louis City (314) 577-1607
AMBER GRANA DO
Pediatrics (Pediatric Critical Care Medicine)
1465 S GRAND BLVD, DIVISION OF PEDIATRIC CRITICAL CARE
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5695
DR. ETHAN EMIL PFEIFER MD
Student in an Organized Health Care Education/Training Program
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 268-4070

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 Tabitha D'souza's NPI number?

The NPI number for Tabitha D'souza is 1699234997. It was assigned to this individual provider in the NPPES registry on March 16, 2019.

Where is Tabitha D'souza located?

Tabitha D'souza practices at 1465 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 617-2000.

What is Tabitha D'souza's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Is Tabitha D'souza enrolled in Medicare?

Yes. Tabitha D'souza is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tabitha D'souza was last updated on July 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.