Roland Abou Jaoude, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

T9617 Issued in TX

Practice address

3044 Old Denton Rd Ste 138
Carrollton, TX 75007-5099

Phone

(972) 245-0007

Fax

(972) 245-9272

NPI assigned

Aug 6, 2009

Last updated

Mar 6, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Pediatric Medicine

Education

Other, 2008

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: roland.abou.jaoude.1@8363.direct.athenahealth.com

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.

• Ascension Seton

  dba SEBD Professional Support Services

  • Family Medicine Physician
  • Luling, TX
  • NPI 1215118609
  Medicare reassignment NPD
• Ascension Seton

  dba Ascension Seton Smithville

  • Medicare Defined Swing Bed Hospital Unit
  • Smithville, TX
  • NPI 1598590101
  NPD
• Ascension Seton

  dba Ascension Seton Lockhart Health Center

  • Rural Health Clinic/Center
  • Lockhart, TX
  • NPI 1235234576
  NPD (past)

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1235360314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12377 MERIT DR STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752513126",
            "telephone_number": "972-957-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3044 OLD DENTON RD STE 138",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075099",
            "telephone_number": "972-245-0007",
            "fax_number": "972-245-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOU JAOUDE",
        "first_name": "ROLAND",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "T9617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hussein Abdel Aziz, RPH
• Semira Abdourezak
• Robin Carol Abels, OTR
• Fatima Abimbola
• Omar Aborahma, OD
• Annie Abraham, FNP
• Krystal Sunny Abraham
• Simi Abraham, DDS
• Mark Abrinica
• Abs Labs LLC

• Pediatrics Physician in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.