Diana M Roukoz, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2003017259 Issued in MO

Practice address

3530 Jeffco Blvd
Suite 110
Arnold, MO 63010-6101

Phone

(314) 467-3800

NPI assigned

Dec 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Diana M Sater-Roukoz Other name

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dsaterroukoz485681@directc.mercy.net

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.

• Mercy Clinic East Communities

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1851335228

  Pediatrics

  NPD (past)
• Mercy Hospitals East Communities

  dba Mercy Hospital St Louis

  • General Acute Care Hospital
  • Saint Louis, MO
  • NPI 1427098169
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1144404955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 JEFFCO BLVD",
            "address_2": "SUITE 110",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630106101",
            "telephone_number": "314-467-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 JEFFCO BLVD",
            "address_2": "SUITE 110",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630106101",
            "telephone_number": "314-467-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUKOZ",
        "first_name": "DIANA",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-28",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2003017259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "SATER-ROUKOZ",
            "middle_name": "M",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amanda Roop
• Jacqueline Kaye Rosenthal, MPT
• Ilana Shaina Rosman, MD
• Shannon Ross, M.S., CCC-SLP
• Christine Rothrock, LPC
• Rebecca Rudolph
• Suegol Sadri, DDS
• Adis Sahbaz, RPH
• Rebecca Sander
• Tara Lynn Sanders, P.T.

• Pediatrics Physician in Arnold, MO
• Providers in Arnold, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.