Individual provider Active NPI

Peter Paul Rojas, M.D.

  • Surgery Physician
  • Victoria, TX
National Provider Identifier
1336175140
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D7276 Issued in TX
Practice address
601 E San Antonio St
Ste 501
Victoria, TX 77901-6004
Phone
(361) 575-6396
Fax
(361) 575-2728
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X D7276 TX Primary

Addresses

Primary practice location

601 E San Antonio St
Ste 501
Victoria, TX 77901-6004

Mailing address

601 E San Antonio St
Ste 501
Victoria, TX 77901-6004
Phone (361) 575-6396

Other identifiers 4

IdentifierTypeStateIssuer
020011873OtherTXRAILROAD MEDICARE
4341361OtherTXAETNA
816534OtherTXBLUECROSS BLUESHIELD
101957202MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D7276TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Medical Center Current Accepting new patients

Locations

1016 N Virginia St
Port Lavaca, TX 77979
Phone (361) 552-0325

815 N Virginia St
Port Lavaca, TX 77979
Phone (361) 552-0325

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1336175140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E SAN ANTONIO ST",
            "address_2": "STE 501",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016004",
            "telephone_number": "361-575-6396",
            "fax_number": "361-575-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E SAN ANTONIO ST",
            "address_2": "STE 501",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016004",
            "telephone_number": "361-575-6396",
            "fax_number": "361-575-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROJAS",
        "first_name": "PETER",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2010-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "D7276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020011873",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4341361",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "816534",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101957202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.