Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Andre Luiz Pitanga Bastos De Souza, MD

Individual provider Hematology & Oncology Physician · NPI 1053676627

Dr. Andre Luiz Pitanga Bastos De Souza, MD is a Medical Oncology in Oklahoma City, Oklahoma. Qualified in 2008, 18 years ago. Practices with Ou Health Partners Inc, a 1,167-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma and Rhode Island.

Years since qualifying
18
Licensed in
OK, RI
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

800 NE 10th St Ste B
Oklahoma City, OK 73104-5418
Phone: (405) 271-4022
Fax: (405) 271-3020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 593 Eddy Street, Providence, RI 02903 — (401) 444-5435
  • 825 Chalkstone Ave, Providence, RI 02908 — (401) 456-5790

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence 46042 (OK)
Hematology & Oncology Physician Taxonomy 207RH0003X · Licence MD16354 (RI)

Record details

NPI number1053676627
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 10, 2012
Last updated in NPPESDecember 30, 2025
Certification dateDecember 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMEDICAL ONCOLOGY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Ou Health Partners Inc — 1167 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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