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DENISE SOUSA MD
NPI 1851709455
Obstetrics & Gynecology in Winfield, IL

Active since July 27, 2014PECOS EnrolledAccepts Medicare Assignment
25 N WINFIELD RD, WINFIELD, IL 60190(630) 653-4240(630) 315-6597 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 6, 2026, Nov 25, 2025, Jul 6, 2021 and 1 more (4 updates tracked since 2018).

About Denise Sousa Md NPPES

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

DENISE SOUSA MD (NPI 1851709455) is an individual obstetrics & gynecology provider in Winfield, Illinois, licensed in Illinois (036144699) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Urbana, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1851709455
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDENISE SOUSACredential: MD
Location Address25 N WINFIELD RDWinfield, IL 60190-1379
Mailing Address25 N Winfield RdWinfield, IL 60190-1379 · (630) 653-4240 · Fax (630) 315-6597
Phone(630) 653-4240
Fax(630) 315-6597
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 27, 2014
Last NPPES UpdateApril 6, 20264 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
✔ NPI 1851709455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in IL · 036144699✔ Licensed in MI · 4301106037
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
25 N WINFIELD RD, Winfield, IL 60190
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Secondary Practice Location 1

Location 1611 W Park StUrbana, IL 61801-2501 · Phone (217) 383-3140 · Fax (217) 383-4966

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

Denise Sousa 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 ID8022367333
PECOS Enrollment IDI20180820003565
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60190 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
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 20

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

JOSEPH RAYMOND SCHNEIDER MD
Surgery (Vascular Surgery)
25 N WINFIELD RD, SUITE 201
WINFIELD, IL 60190
Dupage County (630) 933-4487
JESSICA LASAK BERNARDI APN
Nurse Practitioner
25 N WINFIELD RD
WINFIELD, IL 60190
Dupage County (630) 933-2157
KAITLYNN HARPER
Speech-Language Pathologist
25 N WINFIELD RD
WINFIELD, IL 60190
Dupage County (630) 933-1500
DR. TIMOTHY J MCGEE DO
Internal Medicine (Pulmonary Disease)
25 N WINFIELD RD
WINFIELD, IL 60190
Dupage County (630) 690-4553
DR. RANDY S WITTMAN MD
Obstetrics & Gynecology
25 N WINFIELD RD
WINFIELD, IL 60190
Dupage County (630) 653-4240
DR. KIRK JAMES PAPA M.D.
Anesthesiology
25 N WINFIELD RD
WINFIELD, IL 60190
Dupage County (630) 933-6675
SETH T KAY M.D.
Otolaryngology
25 N WINFIELD RD
WINFIELD, IL 60190
Dupage County (630) 933-6879
KRISTEN FLUBACKER FNP-C
Nurse Practitioner (Family)
25 N WINFIELD RD
WINFIELD, IL 60190
Dupage County (630) 933-1600

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 Denise Sousa's NPI number?

The NPI number for Denise Sousa is 1851709455. It was assigned to this individual provider in the NPPES registry on July 27, 2014.

Where is Denise Sousa located?

Denise Sousa practices at 25 N Winfield Rd, Winfield, IL 60190. The listed phone number is (630) 653-4240.

What is Denise Sousa's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Denise Sousa enrolled in Medicare?

Yes. Denise Sousa 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.

When was this NPI record last updated?

The NPPES record for Denise Sousa was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.