NPIMap

Individual provider Active NPI

Joey Edward Roque, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Murrells Inlet, SC
National Provider Identifier
1396847448
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
81712 Issued in SC
Practice address
4070 Highway 17
Murrells Inlet, SC 29576-5033
Phone
(843) 652-1415
Fax
(843) 366-4387
NPI assigned
Sep 1, 2006
Last updated
Jul 31, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 81712 SC Primary
Physical Medicine & Rehabilitation Physician 208100000X 41492 TN

Addresses

Primary practice location

4070 Highway 17
Murrells Inlet, SC 29576-5033

Mailing address

PO Box 847
Cordova, TN 38088-0847
Phone (843) 652-1415

Other practice location 1

100 Water Grande Boulevard
Little River, SC 29566
Phone (843) 652-1415

Other identifiers 1

IdentifierTypeStateIssuer
81712OtherSCSTATE OF SOUTH CAROLINA MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070216000357 TN Practitioner - Physical Medicine and Rehabilitation 1759287592 Reassigns benefits to 2 organizations
I20190607001902 SC Practitioner - Physical Medicine and Rehabilitation 1759287592 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spartanburg Medical CenterGroup PAC ID 3072425297, 1,060 clinicians

Practice addresses (Care Compare)

1530 Drayton Rd
Spartanburg, SC 29307
Phone (864) 560-8777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
81712SCMDPhysical Medicine & Rehabilitation Physician
41492TNMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center CurrentSince Jan 1, 2024 Accepting new patients
Aiken Regional Medical Centers LLC CurrentSince Jan 1, 2024 Accepting new patients
Spartanburg Medical Center CurrentSince Jan 1, 2024 Accepting new patients
Covenant Medical Group, Inc. Physical Medicine & Rehabilitation CurrentSince Mar 1, 2008 Accepting new patients
Aiken Regional Medical Centers LLC CurrentSince Jan 1, 2024 Accepting new patients
Vibra Physicians LLC CurrentSince Dec 1, 2021 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Covenant Medical Group, Inc CurrentSince Mar 1, 2008 Accepting new patients
Spartanburg Medical Center Physical Medicine & Rehabilitation CurrentSince Jan 1, 2024 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Spartanburg Medical Center Past Accepting new patients
Bloomington Rehabilitation Associates, LLC Physical Medicine & Rehabilitation PastSince Apr 17, 2006 Accepting new patients
Cookeville Regional Medical Group, Inc PastSince Apr 8, 2019 Accepting new patients
Spartanburg Medical Center Past Accepting new patients

Locations

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

20 Pinnacle Pkwy
Elgin, SC 29045
Phone (260) 407-8007

1200 Hospital Dr
Mt Pleasant, SC 29464
Phone (843) 226-7721

101 E Wood St
Ste 300
Spartanburg, SC 29303
Phone (864) 560-6554

160 Harold Fleming Ct
Spartanburg, SC 29303
Phone (864) 594-8611

853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928

501 20th St
Ste 503
Knoxville, TN 37916
Phone (865) 331-4321

Dept 888179
Knoxville, TN 37995

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1396847448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380880847",
            "telephone_number": "843-652-1415",
            "fax_number": "843-366-4387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 HIGHWAY 17",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765033",
            "telephone_number": "843-652-1415",
            "fax_number": "843-366-4387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Water Grande Boulevard",
            "address_purpose": "LOCATION",
            "city": "Little River",
            "state": "SC",
            "postal_code": "29566",
            "country_code": "US",
            "telephone_number": "843-652-1415",
            "fax_number": "843-366-4387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROQUE",
        "first_name": "JOEY",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SC",
            "license": "81712",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "41492",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF SOUTH CAROLINA MEDICAL LICENSE",
            "identifier": "81712",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

Verify at the official NPI Registry.