Individual provider Active NPI

Steven V Rouzer, MD

  • Adult Medicine Physician
  • Moab, UT
National Provider Identifier
1376590729
Registry record updated May 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
16733618905 Issued in UT
Practice address
380 North 500 West
Moab, UT 84532-2232
Phone
(435) 259-0408
Fax
(435) 259-0448
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 16733618905 UT Primary

Addresses

Primary practice location

380 North 500 West
Moab, UT 84532-2232

Mailing address

380 North 500 West
Moab, UT 84532-2232
Phone (435) 259-0408

Other identifiers 1

IdentifierTypeStateIssuer
870471816OtherUTTAX ID#

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20040903000176 UT Practitioner - Family PracticePractitioner - Emergency Medicine 0749185015 Reassigns benefits to 1 organization

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. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16733618905UTMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moab Medical Center Inc. PastSince Jul 1, 2004 Accepting new patients
Moab Family Medicine PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: stever@mrhmoab.securechart.com
  • Direct secure messaging: steven.rouzer.1@17164.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242864000000",
    "number": "1376590729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 NORTH 500 WEST",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "845322232",
            "telephone_number": "435-259-0408",
            "fax_number": "435-259-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 NORTH 500 WEST",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "845322232",
            "telephone_number": "435-259-0408",
            "fax_number": "435-259-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUZER",
        "first_name": "STEVEN",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2009-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "UT",
            "license": "16733618905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID#",
            "identifier": "870471816",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moab, UT

Sources for this page

Verify at the official NPI Registry.