Individual provider Active NPI

Gary D. Roark, M.D.

  • Specialist
  • Abilene, TX
National Provider Identifier
1003896531
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
E4638 Issued in TX
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

Updated by the provider on Mar 24, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
110012672OtherTXRAILROAD MEDICARE
129978601MedicaidTX
122579100OtherTXFIRSTCARE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100203000069 TX Practitioner - Gastroenterology 0840376505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Assoc, LLPGroup PAC ID 1254417918, 4 clinicians

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 100Reported as group
Quality
52.37
Improvement activities
40
Cost
79.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy220
Upper gastrointestinal (GI) endoscopy for acid reflux235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Assoc., LLP Specialist CurrentSince Aug 26, 1982 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.