Individual provider Active NPI

Juan Carlos Rozo, M.D.

  • Cardiovascular Disease Physician
  • Shenandoah, TX
National Provider Identifier
1639164239
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
L7868 Issued in TX
Practice address
17189 Interstate 45 S Ste 475
Shenandoah, TX 77385-3320
Phone
(936) 270-3933
Fax
(713) 795-5134
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X L7868 TX Primary

Addresses

Primary practice location

17189 Interstate 45 S Ste 475
Shenandoah, TX 77385-3320

Mailing address

17189 I H 45 S Ste 475
Shenandoah, TX 77385-3320
Phone (936) 270-3933

Other identifiers 2

IdentifierTypeStateIssuer
164028602MedicaidTX
164028604MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.houstonmethodist.org

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
I20040401001837 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Peripheral Vascular Disease 3577455047 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Peripheral Vascular Disease
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians
Houston Methodist Specialty PhysiciansGroup PAC ID 5193239796, 1,498 clinicians

Practice addresses (Care Compare)

16605 Southwest Fwy
Sugar Land, TX 77479-3500
Phone (281) 275-0800

16605 Southwest Fwy 400 Mob3
Methodist Family Medicine Group
Sugar Land, TX 77479-3500
Phone (281) 275-0800

16605 SW Fwy 410
Methodist Diag Card of Houston
Sugar Land, TX 77479-3500
Phone (281) 274-0148

16811 Southwest Fwy
Suite 200
Sugar Land, TX 77479-4728
Phone (281) 690-4678

17189 I 45 S
Shenandoah, TX 77385-3320
Phone (936) 270-3662

18500 Katy Fwy
Houston, TX 77094-1110
Phone (832) 522-8560

4710 Bellaire Blvd
Bellaire, TX 77401-4505
Phone (713) 363-9411

6445 Main St
Suite 2500
Houston, TX 77030-1502
Phone (713) 441-3150

Hospital & facility affiliations

  • Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122
  • Houston Methodist Willowbrook Hospital Hospital, Houston, TX, CCN 450844

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal24

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Aug 5, 2019 Accepting new patients
TMH Physician Associates PLLC CurrentSince Aug 5, 2019 Accepting new patients
Heart Institute of Brownsville,LLP Cardiovascular Disease Past Accepting new patients
Cardiology Specialists of Houston Cardiovascular Disease Past Accepting new patients

Locations

6550 Fannin St
Ste 447
Houston, TX 77030
Phone (713) 441-0633

17189 Interstate 45 S
Ste 475
Shenandoah, TX 77385
Phone (936) 270-2000

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

Interoperability endpoints

  • Direct secure messaging: jrozo235769@directhoustonmethodist.org

Organizations & group practices 5

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 2

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1639164239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17189 I H 45 S STE 475",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773853320",
            "telephone_number": "936-270-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17189 INTERSTATE 45 S STE 475",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773853320",
            "telephone_number": "936-270-3933",
            "fax_number": "713-795-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZO",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "L7868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164028602",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164028604",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.houstonmethodist.org",
            "affiliation": "N",
            "address_1": "17189 Interstate 45 S Ste 475",
            "city": "Shenandoah",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773853320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.