Organization Active NPI

Nathalie K Roff, MD PA

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1063886372
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Feb 2, 2023

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

Authorized official

Name
Nathalie K Roff, MDNPI 1912191453
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
398634101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160223000919 TX Part B Supplier - Clinic/Group Practice 8820393200 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.