Individual provider Active NPI

Robert K Roush Jr., M.D.

  • Hematology & Oncology Physician
  • Broomall, PA
National Provider Identifier
1508801085
Registry record updated Feb 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD036281E Issued in PA
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

Updated by the provider on Feb 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5757046OtherPAAETNA TRADITIONAL
0483313000OtherPAIBC
0515620OtherPAAETNA HMO
651980OtherPABLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100916000837 PA Practitioner - Hematology/Oncology 4789709551 Reassigns benefits to 1 organization

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
Consultants in Medical Oncology and Hematology PCGroup PAC ID 2365413127, 9 clinicians

Practice addresses (Care Compare)

500 Evergreen Dr
Suite G4
Glen Mills, PA 19342-1032
Phone (610) 887-0303

Hospital & facility affiliations

  • Riddle Memorial Hospital Hospital, Media, PA, CCN 390222
  • Main Line Hospital Lankenau Hospital, Wynnewood, PA, CCN 390195
  • Bryn Mawr Hospital Hospital, Bryn Mawr, PA, CCN 390139
  • St Francis Hospital Hospital, Wilmington, DE, CCN 080003
  • Chester County Hospital Hospital, West Chester, PA, CCN 390179

Merit-based Incentive Payment System (MIPS)

Final score
97.14 of 100Reported as individual
Quality
90.81
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Palliative Care, PC CurrentSince Jun 22, 2021 Accepting new patients
Consultants in Medical Oncology & Hematology, PC Hematology & Oncology CurrentSince Jan 1, 2001 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.

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": "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

Verify at the official NPI Registry.