Individual provider Active NPI

Roupen Dekmezian, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Houston, TX
National Provider Identifier
1285638668
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
G8690 Issued in TX
Practice address
1919 La Branch St
Houston, TX 77002-8321
Phone
(713) 481-3535
Fax
(713) 432-0221
NPI assigned
Jun 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X G8690 TX Primary

Addresses

Primary practice location

1919 La Branch St
Houston, TX 77002-8321

Mailing address

PO Box 421008
Houston, TX 77242-1008

Other identifiers 1

IdentifierTypeStateIssuer
220006558OtherTXRAILROAD MEDICARE

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
I20101029000142 TX Practitioner - Pathology 6406040963 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westwater Diagnostics PLLCGroup PAC ID 7113337742, 2 clinicians

Practice addresses (Care Compare)

1140 Business Ctr Dr
Suite 360
Houston, TX 77043-2745
Phone (832) 303-0810

407 E 25TH St
Houston, TX 77008-2305
Phone (832) 303-0810

510 W Tidwell Rd
Houston, TX 77091-4339
Phone (832) 303-0810

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G8690TXMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sagis, PLLC Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2020 Accepting new patients
Sagis PLLC CurrentSince Jan 1, 2020 Accepting new patients
Westwater Diagnostics PLLC Anatomic Pathology & Clinical Pathology CurrentSince Oct 7, 2020 Accepting new patients
Westwater Diagnostics PLLC Current Accepting new patients
Sjap Cytology Associates PLLC PastSince Aug 1, 2012 Accepting new patients
Baylor College of Medicine Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

6201 Southwest Blvd
Benbrook, TX 76132
Phone (817) 731-3337

2537 S Gessner Rd
Ste 200
Houston, TX 77063

1140 Business Center Dr
Ste 360
Houston, TX 77043
Phone (832) 303-0810

16750 Red Oak Dr
Houston, TX 77090
Phone (281) 453-7110

4131 Directors Row
Houston, TX 77092
Phone (713) 586-6705

10918 Vance Jackson Rd
Ste 100
San Antonio, TX 78230
Phone (210) 558-9996

1211 Highway 6
Ste 70
Sugar Land, TX 77478
Phone (281) 238-3902

6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095

Organizations & group practices 7

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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237420800000",
    "number": "1285638668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421008",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772421008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 LA BRANCH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028321",
            "telephone_number": "713-481-3535",
            "fax_number": "713-432-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEKMEZIAN",
        "first_name": "ROUPEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2009-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "G8690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "220006558",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.