NPIMap

Individual provider Active NPI

Nancy Katherine Rollins, MD

  • Neuroradiology Physician
  • Southlake, TX
National Provider Identifier
1073571923
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
G3066 Issued in TX
Practice address
1571 Main St
Southlake, TX 76092-7655
Phone
(214) 926-8780
NPI assigned
May 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G3066 TX
Neuroradiology Physician 2085N0700X G3066 TX Primary

Addresses

Primary practice location

1571 Main St
Southlake, TX 76092-7655

Mailing address

1571 Main St
Southlake, TX 76092-7655
Phone (214) 926-8780

Other identifiers 1

IdentifierTypeStateIssuer
125398104MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090508000554 TX Practitioner - Diagnostic Radiology 0042368631 Reassigns benefits to 5 organizations
I20230905001976 NY Practitioner - Diagnostic Radiology 0042368631 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical Branch at Galveston, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians
Lubbock County Hospital DistrictGroup PAC ID 4385538941, 97 clinicians

Practice addresses (Care Compare)

10201 66TH Rd
Forest Hills, NY 11375-2029
Phone (718) 830-4000

1421 3Rd Ave
New York, NY 10028-1899
Phone (212) 744-5538

1571 Main St
Southlake, TX 76092-7655
Phone (516) 405-7000

602 Indiana Ave
Lubbock, TX 79415-3364
Phone (806) 775-8400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G3066TXMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Singleton Associates PA Neuroradiology CurrentSince Sep 1, 2021 Accepting new patients
Lubbock County Hospital District Diagnostic Radiology CurrentSince Nov 3, 2021 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Southside Faculty Medical Affiliates University Faculty Practice Corp CurrentSince Aug 1, 2023 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Diagnostic Radiology CurrentSince Jan 1, 1975 Accepting new patients
North Shore-Lij Medical PC CurrentSince Aug 1, 2023 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jan 1, 1975 Accepting new patients
Lubbock County Hospital District Diagnostic Radiology CurrentSince Nov 3, 2021 Accepting new patients

Locations

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

1421 3rd Ave
New York, NY 10028
Phone (212) 744-5538

300 Community Dr
Plandome, NY 11030

9525 Queens Blvd
Frnt 2
Rego Park, NY 11374
Phone (718) 360-5522

1220 Hicksville Rd
Seaford, NY 11783

10057 County Road 472
Anna, TX 75409

2350 N Stemmons Fwy
Dallas, TX 75207
Phone (469) 488-7100

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

600 S Main St
Ft Worth, TX 76104
Phone (817) 882-2400

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

11011 Slide Rd
Lubbock, TX 79424
Phone (806) 743-2584

602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898

5219 City Bank Pkwy
Ste 214
Lubbock, TX 79407

9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: nrollins68706@northwell.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 9

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1073571923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1571 MAIN ST",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927655",
            "telephone_number": "214-926-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1571 MAIN ST",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927655",
            "telephone_number": "214-926-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLINS",
        "first_name": "NANCY",
        "middle_name": "KATHERINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "G3066",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "TX",
            "license": "G3066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125398104",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

Verify at the official NPI Registry.