KEITH G. DESOUSA M.D. – NPI #1013140136
Radiology

A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.

Health Care Provider Taxonomy Code for Radiology

KEITH DESOUSA is a radiologist located in BRADENTON, FL. NPPES has assigned the NPI number 1013140136 to KEITH DESOUSA on August 24, 2009. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085N0700X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Neuroradiology

The NPI profile was previously updated about 5 years ago on Mar 08, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KEITH DESOUSA below.

NPI Profile for
KEITH G. DESOUSA

NPI Number
1013140136
Enumeration Date

(about 17 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KEITH G. DESOUSA
Credentials
M.D.
Primary location
300 RIVERSIDE DR E STE 1100
BRADENTON, FL 34208-1022
Phone: (941) 867-2111 Fax: (941) 702-4204
1 Other location(s):
270 E Main St
Bay Shore, NY 11706-8420
Phone: (631) 591-7470
Fax: (631) 591-7472
Mailing address
270 E MAIN ST
BAY SHORE, NY 11706-8420
Phone: (631) 591-7470 Fax: (631) 591-7472
Sole Proprietor
No
Updated
Certification Date
Mar 08, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085N0700X
- Radiology / Neuroradiology (Primary)		 FL ME112657
2084V0102X
- Psychiatry & Neurology / Vascular Neurology		 FL ME112657
2084N0400X
- Psychiatry & Neurology / Neurology		 NY 272403

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
KEITH DESOUSA is affiliated with the following medical group(s):
  • HOSPITAL
    • BLAKE MEDICAL CENTER
      2020 59TH ST W
      BRADENTON, FL 34209
    • FAXTON-ST LUKE'S HEALTHCARE
      1656 CHAMPLIN AVENUE
      NEW HARTFD, NY 13413

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How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.