Individual provider Active NPI

Joel A Roffman, MD

  • Cardiovascular Disease Physician
  • Plano, TX
National Provider Identifier
1033167903
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
F7589 Issued in TX
Practice address
4708 Alliance Blvd Ste 500
Plano, TX 75093-5362
Phone
(972) 941-3100
Fax
(972) 941-3101
NPI assigned
May 4, 2006
Last updated
Jun 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X F7589 TX Primary

Addresses

Primary practice location

4708 Alliance Blvd Ste 500
Plano, TX 75093-5362

Mailing address

4708 Alliance Blvd Ste 500
Plano, TX 75093-5362
Phone (972) 941-3100

Other identifiers 1

IdentifierTypeStateIssuer
134134905MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F7589TXMDCardiovascular Disease Physician

Interoperability endpoints

  • Direct secure messaging: joel.roffman.1@14315.direct.athenahealth.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1033167903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4708 ALLIANCE BLVD STE 500",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935362",
            "telephone_number": "972-941-3100",
            "fax_number": "972-941-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 ALLIANCE BLVD STE 500",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935362",
            "telephone_number": "972-941-3100",
            "fax_number": "972-941-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROFFMAN",
        "first_name": "JOEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "F7589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134134905",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.