Individual provider Active NPI

Gayana Grigoryan Roland, D.O.

  • Emergency Medicine Physician
  • Porter, TX
National Provider Identifier
1225464860
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MB10012400 Issued in NJ
Practice address
21898 FM 1314 Rd # B
Porter, TX 77365-7061
Phone
(281) 354-2417
NPI assigned
Sep 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X R5561 TX
Emergency Medicine Physician 207P00000X 25MB10012400 NJ Primary

Addresses

Primary practice location

21898 FM 1314 Rd # B
Porter, TX 77365-7061

Mailing address

4949 W Davis St Apt 8303
Conroe, TX 77304-5334
Phone (913) 579-4616

Other practice location 1

4422 3rd Ave
Bronx, NY 10457-2545
Phone (913) 579-4616

Other practice location 2

223 N Van Dien Ave
Ridgewood, NJ 07450-2726
Phone (201) 447-8000

Other practice location 3

2801 Franciscan Dr
Bryan, TX 77802-2544
Phone (979) 776-3777

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20180604001485 TX Practitioner - Emergency Medicine 0244508869 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Dec 23, 2021 Accepting new patients
Memorial Hermann Hospital Based Physician Group Emergency Medicine CurrentSince Jul 15, 2024 Accepting new patients
Diverse Community Healthcare PLLC CurrentSince Mar 6, 2019 Accepting new patients
Unity Hospitalist Group PLLC CurrentSince Aug 23, 2020 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince May 1, 2021 Accepting new patients
Angelina Emergency Medicine Associates PA Emergency Medicine CurrentSince Feb 26, 2020 Accepting new patients

Locations

2000 S Palestine St
Athens, TX 75751
Phone (903) 675-2216

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439

110 Memorial Hospital Dr
Huntsville, TX 77340
Phone (936) 291-4276

2555 Gulf Fwy S
#C1100
League City, TX 77573

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

505 S John Redditt Dr
Lufkin, TX 75904
Phone (713) 512-1200

16100 South Fwy
Pearland, TX 77584
Phone (713) 413-5000

2701 US Highway 271 N
Pittsburg, TX 75686
Phone (903) 946-5000

21693 FM 1314 Rd
Ste 400
Porter, TX 77365

21898 FM 1314 Rd
#B
Porter, TX 77365
Phone (281) 747-7495

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

9250 Pinecroft Dr
#C
Shenandoah, TX 77380

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1379203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1225464860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 W DAVIS ST APT 8303",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773045334",
            "telephone_number": "913-579-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21898 FM 1314 RD # B",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773657061",
            "telephone_number": "281-354-2417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4422 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104572545",
            "country_code": "US",
            "telephone_number": "913-579-4616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "223 N Van Dien Ave",
            "address_purpose": "LOCATION",
            "city": "Ridgewood",
            "state": "NJ",
            "postal_code": "074502726",
            "country_code": "US",
            "telephone_number": "201-447-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 Franciscan Dr",
            "address_purpose": "LOCATION",
            "city": "Bryan",
            "state": "TX",
            "postal_code": "778022544",
            "country_code": "US",
            "telephone_number": "979-776-3777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIGORYAN ROLAND",
        "first_name": "GAYANA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-15",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "R5561",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MB10012400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porter, TX

Sources for this page

Verify at the official NPI Registry.