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

Randal De Souza, MD

Individual provider Pediatric Infectious Diseases Physician · NPI 1205321205

Randal De Souza, MD is a Pediatric Medicine in Lexington, Kentucky. Qualified in 2017, 9 years ago. Practices with Kentucky Medical Services Foundation, Inc, a 952-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Kentucky and Ohio.

Years since qualifying
9
Licensed in
KY, OH
In the registry since
2018
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

740 S Limestone Ste K201
Lexington, KY 40536-2639
Phone: (859) 323-6211
Fax: (859) 257-0491
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2401 W Belvedere Ave, Baltimore, MD 21215-5270 — (410) 601-7639
  • 700 Childrens Dr, Columbus, OH 43205-2639 — (614) 722-2000

Specialties & licences

Pediatric Infectious Diseases Physician (primary) Taxonomy 2080P0208X · Licence 60239 (KY)
Pediatrics Physician Taxonomy 208000000X · Licence 35.144506 (OH)

Record details

NPI number1205321205
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 22, 2018
Last updated in NPPESJuly 31, 2025
Certification dateJuly 31, 2025

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Kentucky Medical Services Foundation, Inc — 952 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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