Individual provider Active NPI

Ingrid K Roskos, M.D.

  • Obstetrics & Gynecology Physician
  • Slidell, LA
National Provider Identifier
1235113770
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
14651R Issued in LA
Practice address
1150 Robert Blvd.
Suite 220
Slidell, LA 70458
Phone
(985) 781-4848
Fax
(985) 781-4850
NPI assigned
Nov 29, 2005
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 14651R LA
Obstetrics & Gynecology Physician 207V00000X 14651R LA Primary

Addresses

Primary practice location

1150 Robert Blvd.
Suite 220
Slidell, LA 70458

Mailing address

1150 Robert Blvd.
Suite 220
Slidell, LA 70458
Phone (985) 781-4848

Other identifiers 1

IdentifierTypeStateIssuer
1128767MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20120111000445 LA Practitioner - Obstetrics/Gynecology 1658552161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1150 Robert Blvd
Suite 220
Slidell, LA 70458-2006
Phone (985) 781-4848

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14651RLAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Camellia City Obstetrics and Gynecology Obstetrics & Gynecology Current Accepting new patients
Melissa W. Smith, M.D., LLC Obstetrics & Gynecology Current Accepting new patients
Ingrid K. Roskos, MD, Ampc Obstetrics & Gynecology CurrentSince Jul 26, 2002 Accepting new patients
Slidell Memorial Hospital Past Accepting new patients

Locations

1150 Robert Blvd
Ste 220
Slidell, LA 70458
Phone (985) 646-4444

1150 Robert Blvd
Ste 360
Slidell, LA 70458
Phone (985) 781-4848

Interoperability endpoints

  • Direct secure messaging: ingridkroskosmd@120434.advancedmd-direct.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1235113770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 ROBERT BLVD.",
            "address_2": "SUITE 220",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "70458",
            "telephone_number": "985-781-4848",
            "fax_number": "985-781-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 ROBERT BLVD.",
            "address_2": "SUITE 220",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "70458",
            "telephone_number": "985-781-4848",
            "fax_number": "985-781-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSKOS",
        "first_name": "INGRID",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2026-09-29",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "14651R",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "14651R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1128767",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.