Active NPI
Fnu Roshan, M.D.
- Internal Medicine Physician
- Altoona, PA
National Provider Identifier
1043885130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD483288
- Practice address
- 620 Howard Ave
Altoona, PA 16601-4804 - Phone
- (814) 889-2223
- Fax
- (814) 889-7808
- NPI assigned
- May 21, 2021
- Reactivated
- Oct 17, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NJ | ||
| Internal Medicine Physician | 207R00000X | MD483288 | PA | Primary |
Addresses
Primary practice location
620 Howard Ave
Altoona, PA 16601-4804
Mailing address
620 Howard Ave
Altoona, PA 16601-4804
Phone (814) 889-2223
Other practice location 1
355 Grand Street
Jersey City Medical Center
Jersey City, NJ 07302
Phone (201) 915-2431
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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
- Internal Medicine
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
620 Howard Ave
Altoona, PA 16601-4804
Phone (814) 889-2866
Hospital & facility affiliations
- Upmc Altoona
- Upmc Bedford Memorial
- Conemaugh Nason Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD483288 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upmc Altoona | Current | Accepting new patients | |
| Upmc Altoona | Current | Accepting new patients | |
| Upmc Altoona | Past | Accepting new patients |
Locations
620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011
10455 Lincoln Hwy
Everett, PA 15537
Phone (814) 623-3550
Interoperability endpoints
- froshan516832@upmc.direct-ci.com
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Altoona, PA
- NPI 1497831655
-
- Ambulatory Surgical Clinic/Center
- Altoona, PA
- NPI 1114926953
-
- General Acute Care Hospital
- Altoona, PA
- NPI 1649278730
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Roaring Spring, PA
- NPI 1497708473
-
- General Acute Care Hospital
- Altoona, PA
- NPI 1649278730
-
- Psychiatric Hospital Unit
- Altoona, PA
- NPI 1699773465
-
- General Acute Care Hospital
- Everett, PA
- NPI 1295724193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717027200000",
"number": "1043885130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 HOWARD AVE",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166014804",
"telephone_number": "814-889-2223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 HOWARD AVE",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166014804",
"telephone_number": "814-889-2223",
"fax_number": "814-889-7808"
}
],
"practiceLocations": [
{
"address_1": "355 Grand Street",
"address_2": "Jersey City Medical Center",
"address_purpose": "LOCATION",
"city": "Jersey City",
"state": "NJ",
"postal_code": "07302",
"country_code": "US",
"telephone_number": "201-915-2431",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSHAN",
"first_name": "FNU",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-21",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"deactivation_date": "2022-11-14",
"reactivation_date": "2023-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NJ",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD483288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altoona, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.