Active NPI
Robert K Roush Jr., M.D.
- Hematology & Oncology Physician
- Broomall, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- MD036281E
- Practice address
- 30 Lawrence Rd
Suite 201
Broomall, PA 19008-3301 - Phone
- (610) 492-5900
- Fax
- (610) 492-5903
- NPI assigned
- Jun 18, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | MD036281E | PA | Primary |
Addresses
Primary practice location
30 Lawrence Rd
Suite 201
Broomall, PA 19008-3301
Mailing address
30 Lawrence Rd
Suite 201
Broomall, PA 19008-3301
Phone (610) 492-5900
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5757046 | Other | PA | AETNA TRADITIONAL |
| 0483313000 | Other | PA | IBC |
| 0515620 | Other | PA | AETNA HMO |
| 651980 | Other | PA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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
- Hematology/Oncology
- Education
- Rutgers New Jersey Medical School, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 Evergreen Dr
Suite G4
Glen Mills, PA 19342-1032
Phone (610) 887-0303
Hospital & facility affiliations
- Riddle Memorial Hospital
- Main Line Hospital Lankenau
- Bryn Mawr Hospital
- St Francis Hospital
- Chester County Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.14 of 100
- Quality
- 90.81
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Palliative Care, PC | Current | Accepting new patients | |
| Consultants in Medical Oncology & Hematology, PC | Hematology & Oncology | Current | Accepting new patients |
Locations
30 Lawrence Rd
Ste 201
Broomall, PA 19008
Phone (610) 492-5900
2100 Keystone Ave
Ste 502
Drexel Hill, PA 19026
Phone (610) 622-3818
500 Evergreen Dr
Ste G4
Glen Mills, PA 19342
Phone (610) 887-0303
3855 West Chester Pike
Fl Cancer
Newtown Square, PA 19073
Organizations & group practices 2
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.
-
- Hematology & Oncology Physician
- Broomall, PA
- NPI 1043265820
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Broomall, PA
- NPI 1346815024
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Chester, PA
- NPI 1356333579
-
- General Acute Care Hospital
- Wynnewood, PA
- NPI 1245335629
-
- General Acute Care Hospital
- Bryn Mawr, PA
- NPI 1508971441
-
- General Acute Care Hospital
- Media, PA
- NPI 1407856099
-
- General Acute Care Hospital
- Wilmington, DE
- NPI 1295738896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517875200000",
"number": "1508801085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 LAWRENCE RD",
"address_2": "SUITE 201",
"city": "BROOMALL",
"state": "PA",
"postal_code": "190083301",
"telephone_number": "610-492-5900",
"fax_number": "610-492-5903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 LAWRENCE RD",
"address_2": "SUITE 201",
"city": "BROOMALL",
"state": "PA",
"postal_code": "190083301",
"telephone_number": "610-492-5900",
"fax_number": "610-492-5903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUSH",
"first_name": "ROBERT",
"middle_name": "K",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-18",
"last_updated": "2018-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "PA",
"license": "MD036281E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA TRADITIONAL",
"identifier": "5757046",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC",
"identifier": "0483313000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "0515620",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "651980",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Broomall, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; 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.