Active NPI
Hootan C. Roozrokh, MD
- Surgical Oncology Physician
- Los Gatos, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- A83949
- Practice address
- 14911 National Ave Ste 1
Los Gatos, CA 95032-2632 - Phone
- (408) 688-2149
- Fax
- (408) 688-2505
- NPI assigned
- Nov 1, 2006
- Last updated
- Jan 9, 2023
- 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 |
|---|---|---|---|---|
| Transplant Surgery Physician | 204F00000X | A83949 | CA | |
| Surgical Oncology Physician | 2086X0206X | A83949 | CA | Primary |
Addresses
Primary practice location
14911 National Ave Ste 1
Los Gatos, CA 95032-2632
Mailing address
14911 National Ave Ste 1
Los Gatos, CA 95032-2632
Phone (408) 688-2149
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A839490 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | drroozrokh@drroozrokh.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040730000786 | CA | Practitioner - General Surgery | 5092785584 | Practice locations: Los Gatos, CA |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Medical College of Wisconsin, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
14911 National Ave
Suite 1
Los Gatos, CA 95032-2632
Phone (408) 688-2149
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 12 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Bay Bariatrics Medical Corporation PC | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- San Jose, CA
- NPI 1760710396
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Seton Medical Center ,Seton Medical Center Coastside
- General Acute Care Hospital
- Daly City, CA
- NPI 1023636545
-
dba Seton Medical Center, Seton Medica Center Coastside
- Psychiatric Hospital Unit
- Daly City, CA
- NPI 1639797855
-
dba Good Samaritan Hospital
- General Acute Care Hospital
- San Jose, CA
- NPI 1437103777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673222400000",
"number": "1366520991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14911 NATIONAL AVE STE 1",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950322632",
"telephone_number": "408-688-2149",
"fax_number": "408-688-2505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14911 NATIONAL AVE STE 1",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950322632",
"telephone_number": "408-688-2149",
"fax_number": "408-688-2505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROOZROKH",
"first_name": "HOOTAN",
"middle_name": "C.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2023-01-09",
"certification_date": "2023-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "204F00000X",
"taxonomy_group": "",
"desc": "Transplant Surgery",
"state": "CA",
"license": "A83949",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "CA",
"license": "A83949",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A839490",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "drroozrokh@drroozrokh.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "14911 National Ave Ste 1",
"city": "Los Gatos",
"state": "CA",
"country_code": "US",
"postal_code": "950322632",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Los Gatos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.