Active NPI
Gary D. Roark, M.D.
- Specialist
- Abilene, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- E4638
- Practice address
- 1249 Ambler Ave
Suite 200
Abilene, TX 79601-2351 - Phone
- (325) 677-2626
- Fax
- (325) 677-6835
- NPI assigned
- Jan 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | E4638 | TX | Primary |
Addresses
Primary practice location
1249 Ambler Ave
Suite 200
Abilene, TX 79601-2351
Mailing address
1249 Ambler Ave
Suite 200
Abilene, TX 79601-2351
Phone (325) 677-2626
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110012672 | Other | TX | RAILROAD MEDICARE |
| 129978601 | Medicaid | TX | |
| 122579100 | Other | TX | FIRSTCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1249 Ambler Ave
Suite 200
Abilene, TX 79601-2311
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.73 of 100
- Quality
- 52.37
- Improvement activities
- 40
- Cost
- 79.26
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 220 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 235 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastroenterology Assoc., LLP | Specialist | Current | Accepting new patients |
| Anesthesia Webb, PLLC | Past | Accepting new patients |
Locations
1249 Ambler Ave
Ste 200
Abilene, TX 79601
Phone (325) 677-2626
1249 Ambler Ave
Ste 100
Abilene, TX 79601
Phone (325) 677-2626
1249 Ambler Ave
Abilene, TX 79601
Phone (325) 677-2626
Interoperability endpoints
- gary.roark@abilenegastro.directbygreenway.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Abilene, TX
- NPI 1508846049
-
- Certified Registered Nurse Anesthetist
- Abilene, TX
- NPI 1225455702
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Abilene, TX
- NPI 1528064649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427155200000",
"number": "1003896531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1249 AMBLER AVE",
"address_2": "SUITE 200",
"city": "ABILENE",
"state": "TX",
"postal_code": "796012351",
"telephone_number": "325-677-2626",
"fax_number": "325-677-6835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1249 AMBLER AVE",
"address_2": "SUITE 200",
"city": "ABILENE",
"state": "TX",
"postal_code": "796012351",
"telephone_number": "325-677-2626",
"fax_number": "325-677-6835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROARK",
"first_name": "GARY",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2015-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "E4638",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110012672",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129978601",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTCARE",
"identifier": "122579100",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Abilene, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.