Individual provider Active NPI

Gerald Roust, MD

  • Ophthalmology Physician
  • Mankato, MN
National Provider Identifier
1568469351
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
31150 Issued in MN
Practice address
1630 Adams St
Mankato, MN 56001-4801
Phone
(507) 345-6151
Fax
(507) 625-1096
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 31150 MN Primary

Addresses

Primary practice location

1630 Adams St
Mankato, MN 56001-4801

Mailing address

1630 Adams St
Mankato, MN 56001-4801
Phone (507) 345-6151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31150MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmology Associates of Mankato PA Ophthalmology CurrentSince Jul 11, 1987 Accepting new patients
Ophthalmology Associates of Mankato PA CurrentSince Jul 11, 1987 Accepting new patients

Locations

1630 Adams St
Mankato, MN 56001
Phone (507) 345-3551

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.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1568469351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 ADAMS ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560014801",
            "telephone_number": "507-345-6151",
            "fax_number": "507-625-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 ADAMS ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560014801",
            "telephone_number": "507-345-6151",
            "fax_number": "507-625-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUST",
        "first_name": "GERALD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "31150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

Verify at the official NPI Registry.