VINCENT JERARD DSOUZA MD NPI 1124002183

NPI Information

NPI: 1124002183
Provider Name: VINCENT JERARD DSOUZA, MD
Classification: Radiology - 2085B0100X
Entity Type: Individual

Specialization: Body Imaging

PECOS Registration: Yes

Address:
MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157
Phone: (336) 716-2255
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Vincent Jerard Dsouza, MD is a body imaging radiology in Winston Salem, NC. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. Vincent Jerard Dsouza, MD NPI is 1124002183. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157-001
Phone: (336) 716-2255

The NPI 1124002183 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 12/2/2005 and was last updated on 10/8/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	23019	NORTH CAROLINA	No
2	2085B0100X	Radiology	Body Imaging	23019	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7230206	MEDICAID	VIRGINIA
2	22683	OTHER	NORTH CAROLINA	MEDCOST
3	Q23019	MEDICAID	SOUTH CAROLINA
4	194326000	MEDICAID	WEST VIRGINIA
5	5767366	OTHER	NORTH CAROLINA	AETNA
6	300132196	MEDICARE UPIN
7	D33104	MEDICARE UPIN
8	205720B	MEDICARE PIN	NORTH CAROLINA
9	4224	OTHER	NORTH CAROLINA	PARTNERS
10	29189	OTHER	NORTH CAROLINA	BCBS
11	B69891	MEDICARE UPIN
12	8929189	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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