DR. ALEXANDRA OLIVIA DESOUSA MD
NPI 1952041402
Internal Medicine in Wynnewood, PA

Q: What is Alexandra Desousa's NPI number?

The NPI number for Alexandra Desousa is 1952041402. It was assigned to this individual provider in the NPPES registry on March 31, 2022.

Q: What is Alexandra Desousa's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Alexandra Desousa was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 31, 2022PECOS EnrolledAccepts Medicare Assignment

100 E LANCASTER AVE STE B11, WYNNEWOOD, PA 19096(484) 476-2658(484) 476-3577 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 27, 2025, Apr 27, 2022 (2 updates tracked since 2022).

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About Dr. Alexandra Olivia Desousa Md NPPES

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

DR. ALEXANDRA OLIVIA DESOUSA MD (NPI 1952041402) is an individual internal medicine provider in Wynnewood, Pennsylvania, licensed in Pennsylvania (MD490645) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Main Line Hospital Lankenau, and is a graduate of University Of Rochester School Of Medicine And Dentistry (2022).

NPPES Registry Identity

NPI1952041402

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. ALEXANDRA OLIVIA DESOUSACredential: MD

Location Address100 E LANCASTER AVE STE B11Wynnewood, PA 19096-3450

Mailing Address3803 W Chester Pike Ste 160Newtown Square, PA 19073-2336 · (484) 337-1632

Phone(484) 476-2658

Fax(484) 476-3577

Sole ProprietorYes

Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 2022

Enumeration DateMarch 31, 2022

Last NPPES UpdateJune 27, 20252 updates tracked since enumeration

NPPES CertifiedJune 27, 2025

✔ NPI 1952041402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in PA · MD490645

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

100 E LANCASTER AVE STE B11, Wynnewood, PA 19096

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield Delaware.Insurance ›

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. Alexandra Olivia Desousa 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 ID3274911706

PECOS Enrollment IDI20250624000367

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.

Hospital Affiliations CMS Care Compare

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

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390195

Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19096 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

Other Providers at the Same Location NPPES 9

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

SAMUEL LAIACONA MD

Internal Medicine