DR. ANDRE LUIZ PITANGA BASTOS DE SOUZA (M.D) – Hematology & Oncology Physician, NPI 1053676627
Hematology & Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
36 MEDICAL ONCOLOGY in RI
Provider Addresses for DR. ANDRE LUIZ PITANGA BASTOS DE SOUZA (M.D)
117 ELLENFIELD ST STE 101
PROVIDENCE, RI 029054513
Phone: (401) 444-6779
Fax: (401) 444-6912
Type: Mailing
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Phone: (401) 456-5790
Type: Location
515 CENTRAL PARK DR STE 5009
OKLAHOMA CITY, OK 731051724
Phone: (405) 764-8066
Fax: (405) 271-1001
Type: Mailing
800 NE 10TH ST STE B
OKLAHOMA CITY, OK 731045418
Phone: (405) 271-4022
Fax: (405) 271-3020
Type: Location
593 Eddy Street
APC Main
Providence, RI 02903
Phone: (401) 444-5435
Fax: (401) 444-8301
Type: Location
825 Chalkstone Ave
Providence, RI 02908
Phone: (401) 456-5790
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $21.
Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.
Last reported payment date: 2023-12-14 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($21).
Total Amount
$21
General + Research + Ownership
Payments
1
Total payment records
General Amount
$21
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $21 |
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: 2025-12-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180820002126 | I | Hematology/Oncology | RI | TBD |
| I20251229000998 | I | Medical Oncology | OK | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 126 | 71 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 52 | 30 | $0 |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 16 | 12 | $0 |
Insurance plans in this area (ZIP 02905)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | OK | |
| O P H T H A L M O L O G Y | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| R H E U M A T O L O G Y | OK | |
| Nurse Practitioner | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Family Practice, Hospitalist | OK | |
| Clinical Social Worker | OK | |
| Geriatric Medicine, Family Practice | TN |
Reviews
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