Active NPI
Nathalie K Roff, MD PA
- Internal Medicine Physician
- Houston, TX
National Provider Identifier
1063886372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- NATHALIE K ROFF, MD PA
- Practice address
- 6550 Fannin St.
Suite 657
Houston, TX 77030-2717 - Phone
- (713) 441-2235
- Fax
- (832) 218-9148
- NPI assigned
- Nov 24, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nathalie K Roff, MD
- Title
- Provider/Owner
- Phone
- (713) 522-1240
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Clinic/Center | 261Q00000X | J9546 | TX | |
| Clinic/Center | 261Q00000X | |||
| Long Term Care Hospital | 282E00000X | J9546 | TX | |
| General Acute Care Hospital | 282N00000X | J9546 | TX | |
| Special Hospital | 284300000X | J9546 | TX | |
| Skilled Nursing Facility | 314000000X | J9546 | TX |
Addresses
Primary practice location
6550 Fannin St.
Suite 657
Houston, TX 77030-2717
Mailing address
25 1/2 Courtlandt Place
Houston, TX 77006-4013
Phone (713) 522-1240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 398634101 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6550 Fannin St
Ste 657
Houston, TX 77030
Phone (713) 441-2235
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675296000000",
"number": "1063886372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 1/2 COURTLANDT PLACE",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770064013",
"telephone_number": "713-522-1240",
"fax_number": "832-218-9148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6550 FANNIN ST.",
"address_2": "SUITE 657",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302717",
"telephone_number": "713-441-2235",
"fax_number": "832-218-9148"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATHALIE K ROFF, MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-24",
"last_updated": "2023-02-02",
"certification_date": "2023-02-02",
"status": "A",
"authorized_official_last_name": "ROFF",
"authorized_official_first_name": "NATHALIE",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PROVIDER/OWNER",
"authorized_official_telephone_number": "713-522-1240",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "TX",
"license": "J9546",
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "282E00000X",
"taxonomy_group": "",
"desc": "Long Term Care Hospital",
"state": "TX",
"license": "J9546",
"primary": false
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "TX",
"license": "J9546",
"primary": false
},
{
"code": "284300000X",
"taxonomy_group": "",
"desc": "Special Hospital",
"state": "TX",
"license": "J9546",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TX",
"license": "J9546",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "398634101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.