Individual provider Active NPI

Randall Kwarteng Roland, D.O

  • Internal Medicine Physician
  • Porter, TX
National Provider Identifier
1275912354
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R5637 Issued in TX
Practice address
21898 FM 1314 Rd Ste B
Porter, TX 77365-7061
Phone
(281) 354-2417
NPI assigned
May 22, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R5637 TX Primary

Addresses

Primary practice location

21898 FM 1314 Rd Ste B
Porter, TX 77365-7061

Mailing address

21898 FM 1314 Rd Ste B
Porter, TX 77365-7061

Other practice location 1

20 W Mosholu Pkwy S Apt 26A
Bronx, NY 10468-1153
Phone (917) 825-9007

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180814001302 TX Practitioner - Internal MedicinePractitioner - Hospitalist 8820347552 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unity Hospitalist Group PLLCGroup PAC ID 5698195287, 2 clinicians
Diverse Community Healthcare PLLCGroup PAC ID 7911248646, 2 clinicians

Practice addresses (Care Compare)

1500 Grand Lake Dr
Conroe, TX 77304-2891
Phone (281) 354-2417

18839 McKay Dr
Humble, TX 77338-5721
Phone (281) 354-2417

196 Camelot St
Conroe, TX 77304-2236
Phone (281) 354-2417

21898 FM 1314 Rd
Suite B
Porter, TX 77365-7061
Phone (281) 354-2417

604 S Conroe Medical Dr
Conroe, TX 77304-4722
Phone (281) 354-2417

Hospital & facility affiliations

  • Pathfinder Home Health Home health agency, The Woodlands, TX, CCN 678058
  • HCA Houston Healthcare Conroe Hospital, Conroe, TX, CCN 450222

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Jun 1, 2018 Accepting new patients
Diverse Community Healthcare PLLC Internal Medicine CurrentSince Mar 1, 2019 Accepting new patients
TMH Physician Associates PLLC CurrentSince Nov 1, 2018 Accepting new patients
TMH Physician Associates PLLC Internal Medicine CurrentSince Nov 1, 2018 Accepting new patients
Unity Hospitalist Group PLLC Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients

Locations

601 E 15th St
Austin, TX 78701
Phone (512) 324-7868

2801 Franciscan Dr
Bryan, TX 77802
Phone (409) 776-3777

1500 Grand Lake Dr
Conroe, TX 77304
Phone (866) 480-0480

1600 Grand Lake Dr
Conroe, TX 77304
Phone (936) 441-8266

604 S Conroe Medical Dr
Conroe, TX 77304
Phone (505) 980-4582

196 Camelot St
Conroe, TX 77304
Phone (832) 766-7608

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

17506 Red Oak Dr
Houston, TX 77090
Phone (281) 580-1212

18839 McKay Dr
Humble, TX 77338
Phone (281) 446-3655

19211 McKay Dr
Humble, TX 77338
Phone (281) 869-5907

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

21898 FM 1314 Rd
#B
Porter, TX 77365
Phone (281) 747-7495

23200 Valley Ranch Pkwy
Porter, TX 77365
Phone (346) 326-5085

21693 FM 1314 Rd
Ste 400
Porter, TX 77365

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • Direct secure messaging: rroland217929@directhoustonmethodist.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/FJHGBD/Endpoint/FJHGBD

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1432252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1275912354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21898 FM 1314 RD STE B",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773657061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21898 FM 1314 RD STE B",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773657061",
            "telephone_number": "281-354-2417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 W Mosholu Pkwy S Apt 26A",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104681153",
            "country_code": "US",
            "telephone_number": "917-825-9007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROLAND",
        "first_name": "RANDALL",
        "middle_name": "KWARTENG",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-22",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R5637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porter, TX

Sources for this page

Verify at the official NPI Registry.