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

Mr. Mark Dsouza, PA

Individual provider Physician Assistant · NPI 1902153125

Mr. Mark Dsouza, PA is a Physician Assistant in Minnetonka, Minnesota. Qualified in 2012, 14 years ago. Practices with Minnesota Eye Consultants, PA, a 33-clinician group and accepts Medicare assignment. Licensed in Maryland and Minnesota.

Years since qualifying
14
Licensed in
MD, MN
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

10709 Wayzata Blvd Ste 200
Minnetonka, MN 55305-5509
Phone: (952) 888-5800
Fax: (952) 567-6156
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11170 (MN)
Physician Assistant Taxonomy 363A00000X · Licence C04769 (MD)

Record details

NPI number1902153125
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 7, 2012
Last updated in NPPESSeptember 15, 2020
Certification dateSeptember 15, 2020
Mailing address9801 Dupont Ave S, Ste 425, Bloomington, MN 55431-3873

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Minnesota Eye Consultants, Pa — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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