Deactivated NPI 1144433343 Deactivated / Inactive NPI Male Practitioner

Dr. Blaise Desouza , MD INC

General Practice • Foresthill, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Blaise Desouza has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 07, 2007

NPI Deactivation Date November 09, 2021

Total Practice Duration ~14 Years of Practice (2007 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Blaise Desouza, MD INC was a registered General Practice practicing in Foresthill, CA. Throughout an active medical career spanning 14 years, Dr. Desouza provided care at the practice location at 23000 FORESTHILL RD until profile deactivation on 2021-11-09.

Historical Medicare Part B clinical services included chronic care management services, first, established patient outpatient office visit, routine ekg using at least 12 leads including interpretation and report. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

23000 Foresthill Rd

Foresthill, CA 956311040

Telephone 5303672229

Fax 5303674161

Associated Practice Facility / Clinic

🏢 Foresthill Medical Center Inc Facility NPI 1568410421

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Foresthill, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 31.1 Yrs

Regional Practice Density

1 Specialists

Practicing in Foresthill, CA (2300 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

29.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	309	51	$51.40	$43.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	151	54	$150.00	$113.56
99213 Established patient office or other outpatient visit, typically 15 minutes	79	34	$115.00	$77.56
93000 Routine ekg using at least 12 leads including interpretation and report	12	11	$30.00	$17.83
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$185.81	$121.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	580	51	$51.40	$43.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	355	60	$150.00	$112.03
99213 Established patient office or other outpatient visit, typically 15 minutes	117	44	$115.00	$75.89
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	52	11	$10.00	$1.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	47	33	$232.00	$150.93
17004 Destruction of precancer skin growth, 15 or more growths	45	27	$247.00	$151.65
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	41	41	$185.81	$121.75
90756 Vaccine for influenza for injection into muscle	30	30	$25.00	$22.33
G0008 Administration of influenza virus vaccine	29	29	$35.00	$21.67
93000 Routine ekg using at least 12 leads including interpretation and report	21	17	$30.00	$17.74
81002 Urinalysis, manual test	20	12	$5.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	515	63	$51.40	$48.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	382	68	$150.00	$123.03
99213 Established patient office or other outpatient visit, typically 15 minutes	121	46	$115.00	$84.26
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	98	14	$2.98	$1.78
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	41	41	$185.81	$138.55
17004 Destruction of precancer skin growth, 15 or more growths	40	23	$247.00	$175.38
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	35	26	$213.14	$163.72
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	33	33	$25.00	$17.48
G0008 Administration of influenza virus vaccine	33	33	$35.00	$26.85
81002 Urinalysis, manual test	32	13	$5.00	$3.43
93000 Routine ekg using at least 12 leads including interpretation and report	18	18	$30.00	$19.57
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	16	12	$39.60	$29.92

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CA A37917

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

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NPI Profile Deactivated November 09, 2021

Record deactivated on November 09, 2021

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NPI Profile Active May 07, 2008

NPI status registered as active in NPPES database

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Updated Practice Location May 07, 2008

Registered at 23000 FORESTHILL RD, FORESTHILL, CA 956311040 (Tel: 5303672229)

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Updated Business Mailing Address May 07, 2008

Registered at PO BOX 1040, FORESTHILL, CA 956311040 (Tel: 5303672229)

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Provider Name / Credentials Updated May 07, 2008

Recorded as BLAISE DESOUZA, MD INC

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2008

General Practice (License #A37917 in CA)

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Initial NPI Registration & Enumeration May 07, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144433343

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 07, 2007

Last Update: May 07, 2008

Deactivation Date: November 09, 2021

Update or Correct Profile

Mailing Address

Po Box 1040

Foresthill, CA 956311040

Phone: 5303672229

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.