Active NPI
Guadalupe Roldan, MD
- Family Medicine Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- P6069
- Practice address
- 1800 W 26TH St Ste 103
Houston, TX 77008-1451 - Phone
- (713) 957-8400
- Fax
- (713) 957-2133
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | P6069 | TX | Primary |
Addresses
Primary practice location
1800 W 26TH St Ste 103
Houston, TX 77008-1451
Mailing address
14023 Southwest Fwy
Sugar Land, TX 77478-3550
Phone (281) 325-4210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 323912101 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Boston University School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 W 26TH St
Suite 103
Houston, TX 77008-1451
Phone (713) 957-8400
27700 Hwy 290
Suite 360
Cypress, TX 77433-8028
Phone (346) 231-6830
27700 NW Fwy
Suite 360
Cypress, TX 77433-8028
Phone (346) 231-6830
7600 Beechnut St
Houston, TX 77074-4302
Phone (713) 456-5686
Hospital & facility affiliations
- Memorial Hermann Hospital System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hermann Neighborhood Health Centers, PLLC | Family Medicine | Current | Accepting new patients |
| MHS Physicians of Texas | Current | Accepting new patients | |
| MHS Physicians of Texas | Family Medicine | Current | Accepting new patients |
Locations
1800 W 26th St
Ste 103
Houston, TX 77008
Phone (713) 957-8400
14023 Southwest Fwy
Sugar Land, TX 77478
Phone (281) 325-4100
Interoperability endpoints
- groldan152305@memorialhermann.direct-ci.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.
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- NPI 1043266299
Family Medicine
-
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- Shenandoah, TX
- NPI 1184714867
Family Medicine
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Houston, TX
- NPI 1144543604
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649721600000",
"number": "1487732988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14023 SOUTHWEST FWY",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774783550",
"telephone_number": "281-325-4210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 W 26TH ST STE 103",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770081451",
"telephone_number": "713-957-8400",
"fax_number": "713-957-2133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLDAN",
"first_name": "GUADALUPE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2022-04-12",
"certification_date": "2022-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "P6069",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "323912101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.