Organization Active NPI

Donald C. Roa, MD,PA

  • Cardiovascular Disease Physician
  • Harlingen, TX
National Provider Identifier
1316123409
Registry record updated Apr 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
L7141 Issued in TX
Legal business name
DONALD C. ROA, MD,PA
Practice address
1821 S Sesame Square
Suite 9
Harlingen, TX 78550-8407
Phone
(956) 412-7099
Fax
(956) 412-7488
NPI assigned
Jan 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2011

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

Authorized official

Name
Dr. Donald C. Roa, M.D.NPI 1811987563
Title
M.D.
Phone
(956) 412-7099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X L7141 TX Primary

Addresses

Primary practice location

1821 S Sesame Square
Suite 9
Harlingen, TX 78550-8407

Mailing address

1821 S Sesame Square
Suite 9
Harlingen, TX 78550-8407
Phone (956) 412-7099

Other identifiers 2

IdentifierTypeStateIssuer
8BC600OtherTXBC BS OF TX
193706201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080509000478 TX Part B Supplier - Clinic/Group Practice 4688753049 Receives reassigned benefits from 2 practitioners
Practice locations: Harlingen, TX

National Provider Directory

National Provider Directory

Locations

2306 Camelot Plaza Cir
Ste C
Harlingen, TX 78550
Phone (956) 454-8392

1821 S Sesame Sq
Ste 9
Harlingen, TX 78550
Phone (956) 412-7099

1821 S Sesame Sq
Harlingen, TX 78550

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303430400000",
    "number": "1316123409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 S SESAME SQUARE",
            "address_2": "SUITE 9",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508407",
            "telephone_number": "956-412-7099",
            "fax_number": "956-412-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 S SESAME SQUARE",
            "address_2": "SUITE 9",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508407",
            "telephone_number": "956-412-7099",
            "fax_number": "956-412-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD C. ROA, MD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2011-04-22",
        "status": "A",
        "authorized_official_last_name": "ROA",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "956-412-7099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "L7141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF TX",
            "identifier": "8BC600",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193706201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.