DR. ANDREW THOMAS SOUZA (D.O.) – Pediatric Cardiology Physician, NPI 1457585010

DR. ANDREW THOMAS SOUZA (D.O.) is a healthcare provider. based in Loma linda, California. specializing in Pediatric Cardiology Physician. They hold the professional credentials D.O.. They hold a License No. 20A11489 (CA). The NPI Number for DR. ANDREW THOMAS SOUZA (D.O.) is 1457585010

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREW THOMAS SOUZA (D.O.)
NPI
1457585010
Phone
Not provided
Address
11234 ANDERSON ST
Enumeration Date
12 May 2009
Last Update Date
12 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3233618408
Graduation Year
2009 (17 years ago)
PAC ID
8426213158
Group Practice PAC ID
0143126920
Professional Enrollment ID
I20120703000284
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for DR. ANDREW THOMAS SOUZA (D.O.)

  • Loma Linda University Medical Center, 11234, Anderson Street, Loma Linda, San Bernardino County, California, 92354, United States

    HOUSE STAFF OFFICE CP 21005

    LOMA LINDA, CA 923542804

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-07-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120703000284IPediatric MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92354)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143126920View full group profile
NameSpecialtyState
A L L E R G Y/ I M M U N O L O G YCA
-CO
-UT
N E P H R O L O G YCA
U R O L O G YCA
Pulmonary DiseaseCA
Pediatric Medicine, OphthalmologyCA
-CA
Cardiovascular Disease (Cardiology)CA
N E U R O L O G YCA

Reviews

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Frequently asked questions

Is DR. ANDREW THOMAS SOUZA (D.O.) listed with a National Provider Identifier?
Yes — DR. ANDREW THOMAS SOUZA (D.O.) has NPI 1457585010 on file in the registry.
Is there an active status for DR. ANDREW THOMAS SOUZA (D.O.)?
For scheduling context, DR. ANDREW THOMAS SOUZA (D.O.) is shown as active in the registry.
What area of care is associated with DR. ANDREW THOMAS SOUZA (D.O.)?
DR. ANDREW THOMAS SOUZA (D.O.)'s record emphasizes Pediatric Cardiology Physician. Clinical services aligned with this taxonomy classification.
Where in California is DR. ANDREW THOMAS SOUZA (D.O.) registered?
Use Loma Linda, California as the headline location for DR. ANDREW THOMAS SOUZA (D.O.) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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