Individual provider Active NPI

Rosemary Eseh-Logue, M.D.

  • Internal Medicine Physician
  • Beaumont, TX
National Provider Identifier
1013237296
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P5801 Issued in TX
Practice address
2493 Calder St
Beaumont, TX 77702-1919
Phone
(409) 223-7855
NPI assigned
Jun 10, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10036740 TX
Internal Medicine Physician 207R00000X P5801 TX Primary

Addresses

Primary practice location

2493 Calder St
Beaumont, TX 77702-1919

Mailing address

2493 Calder St
Beaumont, TX 77702-1919
Phone (409) 223-7855

Other identifiers 3

IdentifierTypeStateIssuer
1013237296OtherTXTRICARE SOUTH
323895805MedicaidTX
8DT882OtherTXBCBS-TX

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
I20130812000307 TX Practitioner - Internal Medicine 8426290032 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
George Washington University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson Physician Services, PLLCGroup PAC ID 0547610677, 55 clinicians

Practice addresses (Care Compare)

2830 Calder St
Beaumont, TX 77702-1809
Phone (409) 892-7171

Hospital & facility affiliations

  • Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10036740TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Sep 1, 2016 Accepting new patients
TMH Physician Associates PLLC Internal Medicine CurrentSince Sep 1, 2016 Accepting new patients
Doucette Branch Inpatient Services PLLC CurrentSince Apr 29, 2020 Accepting new patients
Jefferson Physician Services, PLLC Internal Medicine CurrentSince Sep 17, 2024 Accepting new patients
Baptist Physician Network CurrentSince Aug 29, 2022 Accepting new patients

Locations

3555 Stagg Dr
Beaumont, TX 77701
Phone (409) 212-5922

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

2060 Space Park Dr
Ste 302
Houston, TX 77058
Phone (281) 333-9326

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

1100 W Bluff St
Woodville, TX 75979
Phone (409) 283-6400

Organizations & group practices 6

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": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1013237296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2493 CALDER ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021919",
            "telephone_number": "409-223-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2493 CALDER ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021919",
            "telephone_number": "409-223-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESEH-LOGUE",
        "first_name": "ROSEMARY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-10",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10036740",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P5801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE SOUTH",
            "identifier": "1013237296",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "323895805",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-TX",
            "identifier": "8DT882",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.