Individual provider Active NPI

John Roufail, M.D

  • Neurological Surgery Physician
  • Denison, TX
National Provider Identifier
1033454194
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
V6387 Issued in TX
Practice address
5012 S US Highway 75 Ste 300
Denison, TX 75020-4589
Phone
(903) 416-6065
NPI assigned
Nov 30, 2012
Last updated
Mar 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X V6387 TX Primary
Neurological Surgery Physician 207T00000X 38891 OK

Addresses

Primary practice location

5012 S US Highway 75 Ste 300
Denison, TX 75020-4589

Mailing address

4717 Bear Run Dr
Plano, TX 75093-7321

Other practice location 1

1727 Chuckwa Dr Ste 400
Durant, OK 74701-2151
Phone (580) 924-7096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, OK, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20201202001633 SD Practitioner - Neurosurgery 2567746688 Reassigns benefits to 1 organization
I20211216000335 OK Practitioner - Neurosurgery 2567746688 Reassigns benefits to 1 organization
I20250306001995 TX Practitioner - Neurosurgery 2567746688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texomacare Specialty PhysiciansGroup PAC ID 4880858364, 37 clinicians

Practice addresses (Care Compare)

1727 Chuckwa Dr
Suite 400
Durant, OK 74701-2151
Phone (580) 924-7096

5012 S US Hwy 75
Suite 120
Denison, TX 75020-4587
Phone (903) 416-6460

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion59
Laminectomy or laminotomy (partial removal of spine bones)30

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38891OKMDNeurological Surgery Physician
V6387TXMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comanche County Healthcare Corporation Current Accepting new patients
Sanford Clinic CurrentSince Sep 14, 2020 Accepting new patients
Sanford Clinic CurrentSince Sep 14, 2020 Accepting new patients
Sanford Clinic Current Accepting new patients
Texomacare Specialty Physicians CurrentSince Jan 6, 2025 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Comanche County Hospital Authority Past Accepting new patients

Locations

1727 Chuckwa Dr
Ste 400
Durant, OK 74701
Phone (580) 924-7096

3201 W Gore Blvd
Ste 300
Lawton, OK 73505
Phone (580) 248-5255

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

1210 W 18th St
Ste 100
Sioux Falls, SD 57104
Phone (605) 312-8500

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300

4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000

5012 S US Highway 75
Ste 275
Denison, TX 75020
Phone (903) 416-6325

5012 US Highway 75
Ste 120
Denison, TX 75020
Phone (903) 416-5300

5012 US Highway 75
Ste 300
Denison, TX 75020
Phone (903) 416-6025

5016 US Highway 75
Denison, TX 75020
Phone (855) 222-9637

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDAGBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/FDAGBA/Endpoint/FDAGBA
  • Direct secure messaging: john.roufail@tcsp.eclinicaldirectplus.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1354233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1033454194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4717 BEAR RUN DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 S US HIGHWAY 75 STE 300",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204589",
            "telephone_number": "903-416-6065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1727 Chuckwa Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Durant",
            "state": "OK",
            "postal_code": "747012151",
            "country_code": "US",
            "telephone_number": "580-924-7096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROUFAIL",
        "first_name": "JOHN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-30",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "V6387",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OK",
            "license": "38891",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

Verify at the official NPI Registry.