Active NPI
Timothy John Roupas, AU.D.
- Audiologist
- Naples, FL
National Provider Identifier
1083635965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY1328
- Practice address
- 1000 Tamiami TRL N
403
Naples, FL 34102-5481 - Phone
- (239) 434-0086
- Fax
- (239) 434-9029
- NPI assigned
- Jul 23, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AY1328 | FL | Primary |
Addresses
Primary practice location
1000 Tamiami TRL N
403
Naples, FL 34102-5481
Mailing address
1000 Tamiami TRL N
403
Naples, FL 34102-5481
Phone (239) 434-0086
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070507000077 | FL | Practitioner - Qualified Audiologist | 5597780197 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083635965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 TAMIAMI TRL N",
"address_2": "403",
"city": "NAPLES",
"state": "FL",
"postal_code": "341025481",
"telephone_number": "239-434-0086",
"fax_number": "239-434-9029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 TAMIAMI TRL N",
"address_2": "403",
"city": "NAPLES",
"state": "FL",
"postal_code": "341025481",
"telephone_number": "239-434-0086",
"fax_number": "239-434-9029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUPAS",
"first_name": "TIMOTHY",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY1328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.