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

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for Tabitha D'souza was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 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: October 25, 2026.

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

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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

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter 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 (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.

Medicare Billing Reassignment

Medicare enrollment records show Tabitha D'souza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ssm Health Care Group

0.2 mi

Internal Medicine

1225 SOUTH GRAND BLVD, 2L - DOOR 3,4
Saint Louis, MO 63104

Reassigned Medicare billing, Missouri enrollment
1,294 clinicians in this Medicare group

NPI 1306589544 (314) 977-6100

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

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

MS. MASHAL AZIZ RANA MBBS

Student in an Organized Health Care Education/Training Program

1465 S GRAND BLVD
ST.LOUIS, MO 63104

St. Louis City (314) 577-5382

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

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.

Which organization bills Medicare for Tabitha D'souza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tabitha D'souza reassigns Medicare benefits to Ssm Health Care Group (Saint Louis, MO). The 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 Tabitha D'souza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tabitha D'souza accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Tabitha 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.

When was this NPI record last updated?

The NPPES record for Tabitha D'souza was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.