SAMUEL KOBINA DESOUZA JR. PA-C
NPI 1700419181
Physician Assistant - Medical in Mesa, AZ
About Samuel Kobina Desouza Jr. Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL KOBINA DESOUZA JR. PA-C (NPI 1700419181) is an individual medical provider in Mesa, Arizona and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Phoenix.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samuel Kobina Desouza Jr. Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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.
MESA, AZ 85202
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 Samuel Desouza's NPI number?
The NPI number for Samuel Desouza is 1700419181. It was assigned to this individual provider in the NPPES registry on February 13, 2020.
Where is Samuel Desouza located?
Samuel Desouza practices at 1500 S Dobson Rd Ste 202, Mesa, AZ 85202. The listed phone number is (866) 974-2673.
What is Samuel Desouza's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Samuel Desouza enrolled in Medicare?
Yes. Samuel Desouza is registered in the Medicare PECOS enrollment system.
What insurance does Samuel Desouza accept?
Health plans from Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. list Samuel Desouza 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 Samuel Desouza was last updated on November 9, 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.
# Samuel Kobina Desouza Jr., PA-C · NPI 1700419181
Medical physician in Mesa, Arizona. Individual provider, active in the CMS NPPES registry since February 13, 2020.
## Identity
- **NPI:** 1700419181 (Entity type: Individual)
- **Enumerated:** February 13, 2020
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1500 S DOBSON RD STE 202, Mesa, AZ 85202-4724
- **Phone:** (866) 974-2673
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** November 9, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1700419181) · Data from the CMS NPPES public registry.