Active NPI
Steven V Rouzer, MD
- Adult Medicine Physician
- Moab, UT
National Provider Identifier
1376590729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 16733618905
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 870471816 | Other | UT | TAX 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040903000176 | UT | Practitioner - Family Practice | 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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16733618905 | UT | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moab Medical Center Inc. | Past | Accepting new patients | |
| Moab Family Medicine PC | Past | Accepting new patients |
Interoperability endpoints
- stever@mrhmoab.securechart.com
- 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.
-
- Clinic/Center
- Moab, UT
- NPI 1013961226
-
- Family Medicine Physician
- Moab, UT
- NPI 1528070489
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; 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.