Dr Joseph J Souza, MD - Medicare Cardiac Electrophysiology in Lexington, KY

Dr Joseph J Souza, MD is a medicare enrolled "Internal Medicine - Clinical Cardiac Electrophysiology" physician in Lexington, Kentucky. He went to Medical College Of Wisconsin and graduated in 1990 and has 34 years of diverse experience with area of expertise as Cardiac Electrophysiology. He is a member of the group practice Pikeville Medical Center Inc and his current practice location is 800 Rose St, Lexington, Kentucky. You can reach out to his office (for appointments etc.) via phone at (859) 323-5956.

Dr Joseph J Souza is licensed to practice in Kentucky (license number 54313) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1336145457.

Contact Information

Dr Joseph J Souza, MD
800 Rose St,
Lexington, KY 40536-0293
(859) 323-5956
Not Available

Map and Direction




Physician's Profile

Full NameDr Joseph J Souza
GenderMale
SpecialityCardiac Electrophysiology
Experience34 Years
Location800 Rose St, Lexington, Kentucky
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Joseph J Souza attended and graduated from Medical College Of Wisconsin in 1990
  NPI Data:
  • NPI Number: 1336145457
  • Provider Enumeration Date: 06/23/2005
  • Last Update Date: 11/07/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4880608496
  • Enrollment ID: I20210115002014

Medical Identifiers

Medical identifiers for Dr Joseph J Souza such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336145457NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 34742 (North Carolina)Secondary
207RC0001XInternal Medicine - Clinical Cardiac Electrophysiology 34742 (North Carolina)Secondary
207RC0001XInternal Medicine - Clinical Cardiac Electrophysiology 54313 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Pikeville Medical CenterPikeville, KYHospital
Highlands Arh Regional Medical CenterPrestonsburg, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pikeville Medical Center Inc6709790157314

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Joseph J Souza allows following entities to bill medicare on his behalf.
Entity NameKentucky Medical Services Foundation, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326091448
PECOS PAC ID: 5698689909
Enrollment ID: O20031119000300
Entity NamePikeville Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528195864
PECOS PAC ID: 6709790157
Enrollment ID: O20040304001281

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Joseph J Souza is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Joseph J Souza, MD
Po Box 432,
Pikeville, KY 41502-0432

Ph: (606) 430-2201
Dr Joseph J Souza, MD
800 Rose St,
Lexington, KY 40536-0293

Ph: (859) 323-5956

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.