Individual provider Active NPI

James Richard Rogan II, MD

  • Family Medicine Physician
  • Tell City, IN
National Provider Identifier
1275616633
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01040713 Issued in IN
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

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200502720AMedicaidIN
100323030MedicaidIN

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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01040713INMDFamily Medicine Physician
01040713AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Rogan & Associates PC CurrentSince Jul 31, 2000 Accepting new patients

Locations

8475 Dauby Ln
Tell City, IN 47586
Phone (812) 547-0475

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.