Individual provider Active NPI

Rozina Parveen, MD

  • Internal Medicine Physician
  • Longview, TX
National Provider Identifier
1487638532
Registry record updated Jun 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M6236 Issued in TX
Practice address
1005 N Eastman Rd
Longview, TX 75601-4231
Phone
(903) 247-8262
Fax
(903) 248-3460
NPI assigned
Dec 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2015

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 084350 MI
Internal Medicine Physician 207R00000X M6236 TX Primary

Addresses

Primary practice location

1005 N Eastman Rd
Longview, TX 75601-4231

Mailing address

1005 N Eastman Rd
Longview, TX 75601-4231
Phone (903) 247-8262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20160831002720 LA Order and Referring Only - Family PracticePractitioner - Family Practice 3779552450

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
084350MIMDInternal Medicine Physician
M6236TXMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433203200000",
    "number": "1487638532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 N EASTMAN RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756014231",
            "telephone_number": "903-247-8262",
            "fax_number": "903-248-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N EASTMAN RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756014231",
            "telephone_number": "903-247-8262",
            "fax_number": "903-248-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARVEEN",
        "first_name": "ROZINA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-02",
        "last_updated": "2015-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "084350",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M6236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.