Organization Active NPI

Trevor Rohm MD PA

  • Family Medicine Physician
  • Hereford, TX
National Provider Identifier
1225511470
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TREVOR ROHM MD PA
Practice address
540 W 15TH St
Hereford, TX 79045-2820
Phone
(806) 364-7512
Fax
(806) 349-5652
NPI assigned
Sep 13, 2018
Last updated
Sep 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Authorized official

Name
Trevor Rohm, MDNPI 1780723791
Title
Owner
Phone
(505) 410-8141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X
General Acute Care Hospital 282N00000X

Addresses

Primary practice location

540 W 15TH St
Hereford, TX 79045-2820

Mailing address

PO Box 1047
Hereford, TX 79045-1047
Phone (505) 410-8141

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190604003056 TX Part B Supplier - Clinic/Group Practice 9638402738 Receives reassigned benefits from 7 practitioners
Practice locations: Amarillo, TX; Hereford, TX

National Provider Directory

National Provider Directory

Locations

308 E 3Rd St
Hereford, TX 79045

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1225511470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1047",
            "city": "HEREFORD",
            "state": "TX",
            "postal_code": "790451047",
            "telephone_number": "505-410-8141",
            "fax_number": "806-364-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W 15TH ST",
            "city": "HEREFORD",
            "state": "TX",
            "postal_code": "790452820",
            "telephone_number": "806-364-7512",
            "fax_number": "806-349-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREVOR ROHM MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-13",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "ROHM",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-410-8141",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hereford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.

Verify at the official NPI Registry.