Individual provider Active NPI

Debra K Roggow, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Fort Myers, FL
National Provider Identifier
1447245451
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
OS6278 Issued in FL
Practice address
20 Barkley Cir
Fort Myers, FL 33907-4545
Phone
(239) 277-1772
Fax
(239) 277-1331
NPI assigned
Sep 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X OS6278 FL Primary

Addresses

Primary practice location

20 Barkley Cir
Fort Myers, FL 33907-4545

Mailing address

11588 Mahogany Run
Fort Myers, FL 33913-8301
Phone (239) 561-7645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20101230000096 FL Practitioner - Physical Medicine and RehabilitationPractitioner - General PracticePractitioner - Pain Management 2769670074 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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Alan L Tannenbaum MD PA CurrentSince Apr 1, 2013 Accepting new patients
Rehabilitation Consultants PA Past Accepting new patients
Marius C Espeleta DPM PA Past Accepting new patients
Cape Coral Hospitalists Inc Past Accepting new patients

Locations

523 Cape Coral Pkwy E
Cape Coral, FL 33904
Phone (239) 549-2772

20 Barkley Cir
Fort Myers, FL 33907
Phone (239) 277-1772

20 Barkley Cir
Ste 101
Fort Myers, FL 33907
Phone (239) 206-4919

Organizations & group practices 4

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": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1447245451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11588 MAHOGANY RUN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339138301",
            "telephone_number": "239-561-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BARKLEY CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339074545",
            "telephone_number": "239-277-1772",
            "fax_number": "239-277-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGGOW",
        "first_name": "DEBRA",
        "middle_name": "K",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-15",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "OS6278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.