Individual provider Active NPI

Lori E Rousche, MD

  • Family Medicine Physician
  • Souderton, PA
National Provider Identifier
1275588691
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD042355L Issued in PA
Practice address
777 Route 113
Souderton, PA 18964-1000
Phone
(215) 723-3280
NPI assigned
May 24, 2006
Last updated
Jan 7, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD042355L PA Primary

Addresses

Primary practice location

777 Route 113
Souderton, PA 18964-1000

Mailing address

777 Route 113
Souderton, PA 18964-1000
Phone (215) 723-3280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100308000017 PA Practitioner - Family Practice 8123190923 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD042355LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grand View Hospital CurrentSince Nov 22, 2024 Accepting new patients
Trivalley Primary Care, PC Family Medicine CurrentSince Oct 24, 1991 Accepting new patients
Grand View Hospital CurrentSince Nov 22, 2024 Accepting new patients

Locations

519 S 5th St
Ste 130
Perkasie, PA 18944
Phone (215) 257-8601

700 Lawn Ave
Sellersville, PA 18960
Phone (215) 453-4000

777 Route 113
Souderton, PA 18964
Phone (215) 723-3280

777 Route 113
Ofc
Souderton, PA 18964
Phone (215) 723-3280

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGDCBA

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Grandview HospiceQuakertown, PA, CCN 391557 Hospice W-2 Managing Employee Mar 21, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294358400000",
    "number": "1275588691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 ROUTE 113",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "189641000",
            "telephone_number": "215-723-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 ROUTE 113",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "189641000",
            "telephone_number": "215-723-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSCHE",
        "first_name": "LORI",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2011-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD042355L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Souderton, PA

Sources for this page

Verify at the official NPI Registry.