Roshini Ann Samuel, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

32325 Issued in OK

Practice address

608 NW 9TH St
Suite 1000
Oklahoma City, OK 73102-1068

Phone

(405) 272-7494

Fax

(405) 272-6985

NPI assigned

Jul 8, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin

  • Rural Health Clinic/Center
  • Birnamwood, WI
  • NPI 1063574184

  Corporate Director

  CMS ownership
• Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin

  • Rural Health Clinic/Center
  • Antigo, WI
  • NPI 1821151366

  Corporate Director

  CMS ownership
• Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin

  • Rural Health Clinic/Center
  • Elcho, WI
  • NPI 1831251040

  Corporate Director

  CMS ownership
• Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin

  • Critical Access Hospital
  • Antigo, WI
  • NPI 1639187412

  Corporate Director

  CMS ownership
• Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin

  • Medicare Defined Swing Bed Hospital Unit
  • Antigo, WI
  • NPI 1801950746

  Corporate Director

  CMS ownership
• Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin

  • Community Based Hospice Care Agency
  • Antigo, WI
  • NPI 1841354214

  Corporate Director

  CMS ownership

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.

• Aspirus Medical Group, Inc.

  • Clinic/Center
  • Wausau, WI
  • NPI 1669595294
  NPD
• Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin

  • Rural Health Clinic/Center
  • Elcho, WI
  • NPI 1831251040

  Family Medicine

  NPD

Merit-based Incentive Payment System (MIPS)

Final score

86.2 of 100Reported as group

Quality

84.08

Promoting interoperability

100

Improvement activities

40

Cost

64.31

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467936000000",
    "number": "1548612922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 NW 9TH ST",
            "address_2": "SUITE 1000",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021068",
            "telephone_number": "405-272-7494",
            "fax_number": "405-272-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 NW 9TH ST",
            "address_2": "SUITE 1000",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021068",
            "telephone_number": "405-272-7494",
            "fax_number": "405-272-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "ROSHINI",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-08",
        "last_updated": "2016-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "32325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel H. Schmid O.D.
• Billy Samuel, M.A.
• Dimitre Samuel
• Jesse E Samuel
• Lakisha Renne Samuel, B.A, C.M.
• Aaron Duane Samuels, P.T.A.
• Amy Gail Samuels, LPN
• Julie Anne Samuels, MS,CCC-SLP
• Venusto H San Joaquin, MD
• David San Martin

• All providers in Oklahoma City, OK
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.