Active NPI
Roham Darvishi, M.D.
- Internal Medicine Physician
- Conroe, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- M1067
- Practice address
- 3115 College Park Dr Ste 108
Conroe, TX 77384-4171 - Phone
- (832) 860-7450
- NPI assigned
- Jul 22, 2006
- Last updated
- Sep 30, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | M1067 | TX | Primary |
| Internal Medicine Physician | 207R00000X | 229117 | NY |
Addresses
Primary practice location
3115 College Park Dr Ste 108
Conroe, TX 77384-4171
Mailing address
15 Summer PRT
Spring, TX 77381-4269
Phone (832) 860-7450
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3115 College Park Dr
Suite 108
The Woodlands, TX 77384-4171
Phone (936) 439-5213
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 229117 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Houston Cancer Clinics PA | Current | Accepting new patients | |
| North Houston Cancer Clinics PA | Current | Accepting new patients | |
| North Houston Hospitalists PA | Internal Medicine | Past | Accepting new patients |
Locations
3233 Woodward Dr
Huntsville, TX 77340
Phone (832) 798-7875
3115 College Park Dr
Ste 108
The Woodlands, TX 77384
Phone (936) 439-5213
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hematology & Oncology Physician
- The Woodlands, TX
- NPI 1801033139
-
- Durable Medical Equipment & Medical Supplies
- Huntsville, TX
- NPI 1407298193
-
dba Respiratory and Sleep Disorders Specialists
- Internal Medicine Physician
- Shenandoah, TX
- NPI 1225089832
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Huntsville Memorial Hospital
- General Acute Care Hospital
- Huntsville, TX
- NPI 1245878990
-
dba Houston Methodist The Woodlands Hospital
- General Acute Care Hospital
- The Woodlands, TX
- NPI 1184179194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380499200000",
"number": "1346261591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 SUMMER PRT",
"city": "SPRING",
"state": "TX",
"postal_code": "773814269",
"telephone_number": "832-860-7450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3115 COLLEGE PARK DR STE 108",
"city": "CONROE",
"state": "TX",
"postal_code": "773844171",
"telephone_number": "832-860-7450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARVISHI",
"first_name": "ROHAM",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-22",
"last_updated": "2013-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "M1067",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "229117",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.