Prema Fancy D Souza, MD
NPI 1225417397ActiveIndividual· Pediatrics· Independence, MO
Pediatrics (MD) in Independence, Missouri, licensed in MO, with an NPI issued in May 2015. Enrolled in Medicare as practitioner - pediatric medicine and practitioner - pediatric medicine.
Overview
| NPI | 1225417397 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | May 22, 2015 |
| Last updated in NPPES | Aug 21, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 2018028464 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pediatric Medicine (KS); Practitioner - Pediatric Medicine (MO) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Pediatrics providers in Independence
- 1699811919
- 1285681460
- 1619975315
- 1942763818
- 1528564085
- 1831447317
- 1548201106
- 1295046977
- 1679500326
- 1245468081
- 1316139132
- 1336258722