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KELLY R DESOUZA-SANDERS MD NPI 1912929860


NPI Information

NPI: 1912929860
Provider Name: KELLY R DESOUZA-SANDERS, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Organization: CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY PC

PECOS Registration: Yes

Address:
601 WALNUT STREET
SUITE 220E PENNCARE FOR WOMENT
PHILADELPHIA, PA
ZIP 19106
Phone: (215) 521-1400
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Kelly R Desouza-sanders, MD is an obstetrics gynecology in Philadelphia, PA with 35 years of experience. The provider is 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. Kelly R Desouza-sanders, MD NPI is 1912929860. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:1989

The provider's business location address is:

601 WALNUT STREET
SUITE 220E PENNCARE FOR WOMENT
PHILADELPHIA, PA
ZIP 19106-304
Phone: (215) 521-1400
Fax: (215) 521-1422

The NPI 1912929860 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)
  • Urinalysis, manual test (HCPCS:81002)

The enumeration date for this NPI number is 7/23/2006 and was last updated on 9/13/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyMD045633PENNSYLVANIANo
2207V00000XObstetrics & GynecologyMD045633LPENNSYLVANIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F67293MEDICARE UPIN
21013459460001MEDICAIDPENNSYLVANIA
3093453MEDICARE PINPENNSYLVANIA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.