CHRISTIAN DE SOUZA (DO) – Nephrology Physician, NPI 1003490970

CHRISTIAN DE SOUZA (DO) is a healthcare provider. based in Columbia, Missouri. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. 2024008940 (MO). The NPI Number for CHRISTIAN DE SOUZA (DO) is 1003490970

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTIAN DE SOUZA (DO)
NPI
1003490970
Phone
(573) 884-8016
Address
1 HOSPITAL DR # DC043.00
Enumeration Date
7 May 2021
Last Update Date
7 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6603858700
Graduation Year
2021 (5 years ago)
PAC ID
6608278429
Group Practice PAC ID
1456261395
Professional Enrollment ID
I20250428003288
Address ID
MO635522095MA1205XSTXX400

Contacts

Secure Messaging
christian.desouza.p43@direct.trinity-healthiowa.nextgenshare.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

4,186 INTERNAL MEDICINE in MO

Provider Addresses for CHRISTIAN DE SOUZA (DO)

  • 1 HOSPITAL DR # DC043.00

    COLUMBIA, MO 652121000

    Phone: (573) 884-8016

    Type: Mailing

  • 600 1ST ST NW STE 101

    MASON CITY, IA 504012932

    Phone: (641) 428-5700

    Type: Mailing

  • 1010 4TH ST SW STE 305

    MASON CITY, IA 504012801

    Phone: (641) 428-5700

    Fax: (541) 428-2515

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $117.

Total Amount is formed as General ($117) + Research ($0) + Ownership ($0) = $117.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Travere Therapeutics, Inc. ($50).

Total Amount

$117

General + Research + Ownership

Payments

6

Total payment records

General Amount

$117

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2025-04-28

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
I20250428003288IInternal MedicineMOTBD

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 65212)

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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: 1456261395View full group profile
NameSpecialtyState
Diagnostic RadiologyMO
Internal Medicine, Emergency MedicineMO
-MO
-MO
Family PracticeMO
Family PracticeMO
Family PracticeMO
Family PracticeMO
Family PracticeMO
Family PracticeMO

Reviews

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Frequently asked questions

Can I verify CHRISTIAN DE SOUZA (DO) with an NPI only?
You can start verification with NPI 1003490970 for CHRISTIAN DE SOUZA (DO), then check state licensing separately.
Can I rely on CHRISTIAN DE SOUZA (DO) being an active provider?
As of the registry snapshot, CHRISTIAN DE SOUZA (DO) is marked active.
What is CHRISTIAN DE SOUZA (DO)'s specialty?
The listing groups CHRISTIAN DE SOUZA (DO) with Nephrology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect CHRISTIAN DE SOUZA (DO) on a map?
Expect Columbia, Missouri as a primary anchor for CHRISTIAN DE SOUZA (DO) unless the record lists multiple sites.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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