PRADEEP D'SOUZA – Family Medicine Physician, NPI 1447836366

PRADEEP D'SOUZA is a healthcare provider. based in Houston, Texas. specializing in FAMILY PRACTICE. They hold a License No. U9885 (TX). The NPI Number for PRADEEP D'SOUZA is 1447836366

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
PRADEEP D'SOUZA
NPI
1447836366
Phone
(281) 558-6700
Address
12245 RICHMOND AVE
Enumeration Date
22 March 2021
Last Update Date
6 June 2024

Doctor Profile

Medical School Name
COLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Secondary Phone
7137731102
Graduation Year
2021 (5 years ago)
PAC ID
6507275443
Group Practice PAC ID
8628512613
Professional Enrollment ID
I20240712003599
Address ID
TX770741612HO8313XFWYX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

Provider Addresses for PRADEEP D'SOUZA

  • 12245 RICHMOND AVE

    HOUSTON, TX 770822518

    Phone: (281) 558-6700

    Type: Mailing

  • 12141 RICHMOND AVE

    HOUSTON, TX 770822408

    Phone: (281) 588-8341

    Type: Location

  • 12141 Richmond Ave

    Houston, TX 770822408

    Phone: (281) 588-8341

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $663.

Total Amount is formed as General ($663) + Research ($0) + Ownership ($0) = $663.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Medtronic, Inc. ($96).

Total Amount

$663

General + Research + Ownership

Payments

31

Total payment records

General Amount

$663

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2024-07-12

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
I20240712003599IFamily PracticeTXTBD

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 77082)

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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: 8628512613View full group profile
NameSpecialtyState
Internal Medicine, HospitalistTX
Nurse PractitionerTX
Family PracticeTX
Geriatric Medicine, Internal MedicineTX
Family Practice, Internal MedicineTX
Nurse PractitionerTX
Internal MedicineMI
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Is there an official ID for PRADEEP D'SOUZA in U.S. healthcare records?
The official identifier for PRADEEP D'SOUZA is NPI 1447836366.
Is there an active status for PRADEEP D'SOUZA?
For scheduling context, PRADEEP D'SOUZA is shown as active in the registry.
What expertise is attributed to PRADEEP D'SOUZA?
PRADEEP D'SOUZA's specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with PRADEEP D'SOUZA?
Directory geography for PRADEEP D'SOUZA centers on Houston, Texas.
When was this NPI issued?
Enumeration for PRADEEP D'SOUZA is noted as March 22, 2021 where the registry provides it.

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