Individual provider Active NPI

Steve Roschek

  • Hearing Instrument Specialist
  • South Bend, IN
National Provider Identifier
1053947267
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
17001161A Issued in IN
Practice address
1724 N Ironwood Dr Ste B
South Bend, IN 46635-1844
Phone
(574) 272-2245
NPI assigned
Mar 19, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 17001161A IN Primary

Addresses

Primary practice location

1724 N Ironwood Dr Ste B
South Bend, IN 46635-1844

Mailing address

1724 N Ironwood Dr Ste B
South Bend, IN 46635-1844
Phone (574) 272-2245

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17001161AINMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Hearing LLC PastSince Mar 22, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1053947267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 N IRONWOOD DR STE B",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351844",
            "telephone_number": "574-272-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 N IRONWOOD DR STE B",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351844",
            "telephone_number": "574-272-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSCHEK",
        "first_name": "STEVE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-19",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IN",
            "license": "17001161A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.