Active NPI 1033203203 Individual Practitioner Female Practitioner

Dr. Carol Ann D'souza , MD

Internal Medicine • Parma, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Carol D'Souza, MD is a certified Internal Medicine practicing in Parma, OH. With approximately 45 years of clinical experience since completing medical education in 1981, Dr. D'Souza delivers high-quality medical care to the local community at 12301 SNOW RD.

Dr. D'Souza is affiliated with The Metrohealth System and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12301 Snow Rd

Parma, OH 441301002

Telephone 2166215600

Fax 2164795554

Associated Practice Facility / Clinic

🏢 Kaiser Permanente Facility NPI 1528163219

Medicare Profile & Education

Medical School

Other

Graduation Year

1981

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Parma, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

45 Yrs +23.2 yrs vs City Avg

City Avg: 21.8 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

51 Specialists

Practicing in Parma, OH (5516 Statewide)

Telehealth Adoption Rate

9.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

46.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. D'souza (45 Years) 45 Yrs

Parma Specialty Average (21.8 Years) 21.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	117	84	$151.00	$91.29
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	109	84	$31.00	$15.48
99213 Established patient office or other outpatient visit, typically 15 minutes	71	53	$109.00	$62.53
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	30	$200.00	$122.22
99442 Telephone medical discussion with physician, 11-20 minutes	15	13	$175.00	$62.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	82	$151.00	$93.64
99213 Established patient office or other outpatient visit, typically 15 minutes	90	61	$109.00	$63.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	22	22	$200.00	$122.52
99442 Telephone medical discussion with physician, 11-20 minutes	16	14	$175.00	$63.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	142	110	$151.00	$95.04
99213 Established patient office or other outpatient visit, typically 15 minutes	58	44	$109.00	$64.75
99442 Telephone medical discussion with physician, 11-20 minutes	35	29	$175.00	$65.26
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	25	25	$200.00	$126.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	150	111	$151.00	$96.93
99213 Established patient office or other outpatient visit, typically 15 minutes	57	48	$109.00	$65.62
99442 Telephone medical discussion with physician, 11-20 minutes	54	43	$175.00	$67.08
99441 Telephone medical discussion with physician, 5-10 minutes	21	20	$128.00	$34.83
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	17	17	$200.00	$128.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	150	106	$151.00	$77.04
99442 Telephone medical discussion with physician, 11-20 minutes	88	67	$175.00	$51.03
99213 Established patient office or other outpatient visit, typically 15 minutes	75	55	$109.00	$49.07
99441 Telephone medical discussion with physician, 5-10 minutes	60	50	$128.00	$25.72
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$250.00	$164.59
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	12	$189.00	$51.57
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$200.00	$111.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	240	139	$109.00	$49.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	136	107	$151.00	$76.68
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	20	$250.00	$164.38
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$200.00	$110.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	328	177	$109.00	$50.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	31	$151.00	$77.03
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	15	15	$250.00	$165.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	319	159	$109.00	$49.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	53	$151.00	$76.98

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35-056889

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0301506 (OH)

Hospital & Practice Group Affiliations

The Metrohealth System

2500 Metrohealth Dr, Cleveland, OH 441091900

Phone: 2167787800

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Mary Mahoney , LISW

Social Worker

NPI 1023125200

Licensed Independent Social Worker

Sandra Gleisner , NP

Nurse Practitioner

NPI 1033221643

Nurse Practitioner

Dr. Nuzhat Ashai , MD

Internal Medicine - Nephrology

NPI 1073626529

Doctor of Medicine (M.D.)

Dr. Keith Kruithoff , MD

Internal Medicine - Cardiovascular Disease

NPI 1093825317

Doctor of Medicine (M.D.)

Dr. Stephen Cheng , MD

Orthopaedic Surgery

NPI 1104928357

Doctor of Medicine (M.D.)

Clarence Semple , PA-C

Physician Assistant

NPI 1114027190

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 12301 SNOW RD, PARMA, OH 441301002 (Tel: 2166215600)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1001 LAKESIDE AVE E, #1200, CLEVELAND, OH 441141158 (Tel: 2164795541)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as CAROL D'SOUZA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #35-056889 in OH)

🟢

Initial NPI Registration & Enumeration October 03, 2006

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: 1033203203

Entity Type:

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

Enumeration Date: October 03, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1001 Lakeside Ave E, #1200

Cleveland, OH 441141158

Phone: 2164795541

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.