Roul R Sircar, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

047530 Issued in GA

Practice address

4450 Calibre Xing NW
Suite 1224
Acworth, GA 30101-4103

Phone

(770) 974-6550

Fax

(770) 974-6551

NPI assigned

Jul 7, 2005

Reactivated

Mar 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Roul Sircar Professional name

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Primary Care Partners, PC

  • Internal Medicine Physician
  • Marietta, GA
  • NPI 1306939657
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273017600000",
    "number": "1336146174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 CALIBRE XING NW",
            "address_2": "SUITE 1224",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014103",
            "telephone_number": "770-974-6550",
            "fax_number": "770-974-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 CALIBRE XING NW",
            "address_2": "SUITE 1224",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014103",
            "telephone_number": "770-974-6550",
            "fax_number": "770-974-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRCAR",
        "first_name": "ROUL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2010-05-05",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "047530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROUL",
            "last_name": "SIRCAR",
            "credential": "M.D., C.C.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Amelia Simpson-Morales
• Regina Simpson
• Monique Sims, LPC
• Veronica Singfield, DNP, MSN, RN
• Avani Singh
• Michelle Nadine Skelton, DDS
• C Cornelious Slaton
• Kendall Slaton, D.M.D
• Lindsay Ashlinn Small, OTR/L
• Smilestone ABA LLC

• Internal Medicine Physician in Acworth, GA
• Providers in Acworth, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.

Verify at the official NPI Registry.