NPIMap

Individual provider Active NPI

Landon Roussel, MD

  • Internal Medicine Physician
  • New Braunfels, TX
National Provider Identifier
1417397340
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
V2929 Issued in TX
Practice address
1155 FM 2722 Unit 101
New Braunfels, TX 78132-3188
Phone
(830) 396-6581
NPI assigned
Jun 25, 2013
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 61493897 WA
Internal Medicine Physician 207R00000X V2929 TX Primary

Addresses

Primary practice location

1155 FM 2722 Unit 101
New Braunfels, TX 78132-3188

Mailing address

1885 FM 2673 # H112
Canyon Lake, TX 78133-4765
Phone (206) 786-5171

Other practice location 1

502 W 4th Ave
Toppenish, WA 98948-1616
Phone (303) 390-1940

Other identifiers 3

IdentifierTypeStateIssuer
61493892OtherWALICENSE
187360OtherAKLICENSE
V2929OtherTXLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, TX, WA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20220420002157 AK Practitioner - HospitalistPractitioner - Internal Medicine 9133419260 Reassigns benefits to 3 organizations
I20250311001354 TX Practitioner - Internal Medicine 9133419260 Reassigns benefits to 2 organizations
I20250408002303 WA Practitioner - Internal Medicine 9133419260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Physician Services, PLLCGroup PAC ID 7214388826, 104 clinicians
PeacehealthGroup PAC ID 9436067618, 71 clinicians
Rural Physicians Group-Pannu PLLCGroup PAC ID 0345467486, 141 clinicians

Practice addresses (Care Compare)

2500 E Main St
Christus Spohn Hospital Alice
Alice, TX 78332-4261
Phone (361) 661-8000

3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone (907) 228-8300

502 W 4TH Ave
Toppenish, WA 98948-1616
Phone (509) 865-3105

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.12 of 100Reported as group
Quality
81.91
Promoting interoperability
100
Improvement activities
40
Cost
40.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61493897WAMDInternal Medicine Physician
255884MAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Hospice Current Accepting new patients
Nes Washington, Inc. CurrentSince Jan 21, 2024 Accepting new patients
Care at Home Partners, LLC Internal Medicine Current Accepting new patients
Ketchikan Emergency Physicians, LLC CurrentSince Jun 5, 2025 Accepting new patients
Peacehealth Internal Medicine CurrentSince May 23, 2022 Accepting new patients
Rural Physicians Group-Pannu PLLC Internal Medicine CurrentSince Mar 27, 2025 Accepting new patients
Gulf Coast Physician Services, PLLC Internal Medicine CurrentSince Jan 25, 2025 Accepting new patients
Kittitas County Public Hospital Dist 1 Past Accepting new patients
Peacehealth Past Accepting new patients

Locations

3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-4104

5575 Dtc Pkwy
Ste 225
Greenwood Village, CO 80111

200 Corporate Blvd
Lafayette, LA 70508

2500 E Main St
Alice, TX 78332
Phone (361) 664-4376

1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661

603 S Chestnut St
Ellensburg, WA 98926
Phone (509) 933-8693

502 W 4th Ave
Toppenish, WA 98948
Phone (509) 575-5000

1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253

Interoperability endpoints

  • Direct secure messaging: lroussel554523@direct.peacehealth.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Peacehealth HospiceKetchikan, AK, CCN 021509 Hospice Contracted Managing Employee
Operational/Managerial Control		 Aug 12, 2022
Aug 12, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Peacehealth

    dba PeaceHealth Hospice

    • Community Based Hospice Care Agency
    • Ketchikan, AK
    • NPI 1386362580

    Contracted Managing Employee, Operational/Managerial Control

    CMS ownership

Organizations & group practices 10

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.

Hospital & facility affiliations 5

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": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1417397340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 FM 2673 # H112",
            "city": "CANYON LAKE",
            "state": "TX",
            "postal_code": "781334765",
            "telephone_number": "206-786-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 FM 2722 UNIT 101",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781323188",
            "telephone_number": "830-396-6581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "502 W 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Toppenish",
            "state": "WA",
            "postal_code": "989481616",
            "country_code": "US",
            "telephone_number": "303-390-1940",
            "fax_number": "866-368-6349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROUSSEL",
        "first_name": "LANDON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-25",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "61493897",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "V2929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "61493892",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "187360",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "V2929",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.