Individual provider Active NPI

Carl L Rouch, M.D.

  • Interventional Cardiology Physician
  • Grand Junction, CO
National Provider Identifier
1124099650
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
01043999A Issued in IN
Practice address
360 W Park Dr
Grand Junction, CO 81505-1448
Phone
(970) 244-2482
Fax
(970) 255-1701
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 01043999A IN Primary

Addresses

Primary practice location

360 W Park Dr
Grand Junction, CO 81505-1448

Mailing address

360 W Park Dr
Grand Junction, CO 81505-1448
Phone (970) 244-2482

Other identifiers 1

IdentifierTypeStateIssuer
20052590AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201023001359 CO Practitioner - Interventional Cardiology 0042257669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Indiana University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intermountain Medical Group Grand Junction, LLCGroup PAC ID 3779707856, 297 clinicians

Practice addresses (Care Compare)

1050 Wellington Ave
Imh Wellington Lung and Sleep Clinic
Grand Junction, CO 81501-8121
Phone (970) 298-5864

201 W Park Dr
201 West Park Cardiology
Grand Junction, CO 81505-1469
Phone (970) 298-3050

2635 N 7TH St
Grand Junction, CO 81501-8209

2686 Patterson Rd
Grand Junction, CO 81506-8817
Phone (970) 298-2001

360 W Park Dr
Intermountain Health Heart and Vascular Wes
Grand Junction, CO 81505-1448
Phone (970) 298-3050

Hospital & facility affiliations

  • Intermountain Health St. Mary'S Regional Hospital Hospital, Grand Junction, CO, CCN 060023
  • Delta County Memorial Hospital Hospital, Delta, CO, CCN 060071
  • Family Health West Hospital Hospital, Fruita, CO, CCN 061302
  • Montrose Regional Health Hospital, Montrose, CO, CCN 060006
  • Community Hospital Hospital, Grand Junction, CO, CCN 060054

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting31
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Grand Junction, LLC Family Medicine Current Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Jul 19, 2021 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Jul 19, 2021 Accepting new patients
Major Hospital Past Accepting new patients
St Mary'S Hospital and Medical Center, Inc Family Medicine Past Accepting new patients

Locations

155 Stafford Ln
Delta, CO 81416
Phone (970) 263-3850

296 Stafford Ln
Delta, CO 81416
Phone (970) 874-4399

1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810

360 W Park Dr
Grand Junction, CO 81505
Phone (970) 244-2482

1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864

2643 Patterson Rd
Ste 605
Grand Junction, CO 81506
Phone (970) 244-2482

360 W Park Dr
#1
Grand Junction, CO 81505

Organizations & group practices 5

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 8

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1124099650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 W PARK DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051448",
            "telephone_number": "970-244-2482",
            "fax_number": "970-255-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W PARK DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051448",
            "telephone_number": "970-244-2482",
            "fax_number": "970-255-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUCH",
        "first_name": "CARL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IN",
            "license": "01043999A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20052590A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.