Active NPI
James Richard Rogan II, MD
- Family Medicine Physician
- Tell City, IN
National Provider Identifier
1275616633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01040713
- Practice address
- 8475 Dauby Lane
Tell City, IN 47586-8346 - Phone
- (812) 547-1377
- Fax
- (812) 547-3695
- NPI assigned
- Oct 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01040713 | IN | Primary |
| Family Medicine Physician | 207Q00000X | 01040713A | IN |
Addresses
Primary practice location
8475 Dauby Lane
Tell City, IN 47586-8346
Mailing address
8475 Dauby Lane
Tell City, IN 47586-8346
Phone (812) 547-1377
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200502720A | Medicaid | IN | |
| 100323030 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01040713 | IN | MD | Family Medicine Physician |
| 01040713A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Rogan & Associates PC | Current | Accepting new patients |
Locations
8475 Dauby Ln
Tell City, IN 47586
Phone (812) 547-0475
Interoperability endpoints
- jrogan@yourcarecommunity.org
Organizations & group practices 1
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.
-
- Clinic/Center
- Tell City, IN
- NPI 1851589832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1275616633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8475 DAUBY LANE",
"city": "TELL CITY",
"state": "IN",
"postal_code": "475868346",
"telephone_number": "812-547-1377",
"fax_number": "812-547-3695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8475 DAUBY LANE",
"city": "TELL CITY",
"state": "IN",
"postal_code": "475868346",
"telephone_number": "812-547-1377",
"fax_number": "812-547-3695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGAN",
"first_name": "JAMES",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-21",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01040713",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01040713A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200502720A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100323030",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tell City, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.