Individual provider Active NPI

Roxana Erin Cham, M.D.

  • Family Medicine Physician
  • Garland, TX
National Provider Identifier
1558546150
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M9917 Issued in TX
Practice address
4430 Lavon Dr
Suite #350
Garland, TX 75040-3000
Phone
(972) 530-8590
Fax
(972) 530-8625
NPI assigned
Jan 2, 2008
Last updated
Jan 22, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M9917 TX Primary

Addresses

Primary practice location

4430 Lavon Dr
Suite #350
Garland, TX 75040-3000

Mailing address

399 W Campbell Rd
Suite #206a
Richardson, TX 75080-3595
Phone (469) 204-6973

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081020000298 TX Practitioner - Family Practice 6901964972 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Aug 4, 2014 Accepting new patients
Medhealth Family Medicine CurrentSince Aug 4, 2014 Accepting new patients
Advanced Pain & Rehabilitation Association PLLC Past Accepting new patients

Locations

4430 Lavon Dr
Ste 350
Garland, TX 75040
Phone (972) 530-8590

613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700

Interoperability endpoints

  • Direct secure messaging: roxie.cham.1@19957.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1558546150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 W CAMPBELL RD",
            "address_2": "SUITE #206A",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803595",
            "telephone_number": "469-204-6973",
            "fax_number": "469-204-6976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 LAVON DR",
            "address_2": "SUITE #350",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750403000",
            "telephone_number": "972-530-8590",
            "fax_number": "972-530-8625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAM",
        "first_name": "ROXANA",
        "middle_name": "ERIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-02",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M9917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.