Individual provider Active NPI

Alfred Carl Roschmann, MD

  • Diagnostic Radiology Physician
  • Kerrville, TX
National Provider Identifier
1689664989
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
J6111 Issued in TX
Practice address
218 Quinlan St # 372
Kerrville, TX 78028-5314
Phone
(775) 241-8553
Fax
(775) 852-6902
NPI assigned
Oct 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X J8111 TX
Vascular & Interventional Radiology Physician 2085R0204X J8111 TX
Diagnostic Radiology Physician 2085R0202X J6111 TX Primary

Addresses

Primary practice location

218 Quinlan St # 372
Kerrville, TX 78028-5314

Mailing address

PO Box 17916
Reno, NV 89511-1034
Phone (888) 896-9369

Other identifiers 3

IdentifierTypeStateIssuer
105120302OtherTXCSHCN
105120301MedicaidTX
86870JOtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080328000413 TX Practitioner - Diagnostic RadiologyPractitioner - Geriatric MedicinePractitioner - Emergency Medicine 7517997737 Reassigns benefits to 2 organizations
I20200811002134 WA Practitioner - Interventional Radiology 7517997737 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

300 E 5TH Ave
Spokane, WA 99202-1334

311 S L St
Tacoma, WA 98405-3720

400 E 5TH Ave
Spokane, WA 99202-1334
Phone (509) 838-2531

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

Hospital & facility affiliations

  • Capital Medical Center Hospital, Olympia, WA, CCN 500139
  • Deaconess Medical Center Hospital, Spokane, WA, CCN 500044
  • Multicare Valley Hospital Hospital, Spokane Valley, WA, CCN 500119
  • Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129
  • Providence Centralia Hospital Hospital, Centralia, WA, CCN 500019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J6111TXMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Country Imaging Associates PA Diagnostic Radiology CurrentSince Sep 7, 2011 Accepting new patients
Multicare Health System CurrentSince Jan 5, 2024 Accepting new patients
Multicare Health System CurrentSince Jan 5, 2024 Accepting new patients
Southwest Medical Imaging PA Diagnostic Radiology CurrentSince Nov 1, 2018 Accepting new patients
Jefferson County Public Hospital District No 2 CurrentSince Nov 1, 2022 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System Past Accepting new patients
Westlake Emergency Physicians, P.a. Emergency Medicine Past Accepting new patients
Iliuliuk Family &Health Services, Inc. Past Accepting new patients

Locations

2310 Peger Rd
Ste 102
Fairbanks, AK 99709

551 Hill Country Dr
Kerrville, TX 78028
Phone (830) 257-5414

4214 Andrews Hwy
Ste 103
Midland, TX 79703
Phone (432) 221-1301

400 Rosalind Redfern Grover Pkwy
Midland, TX 79701
Phone (432) 221-4850

101 N Main St
Coupeville, WA 98239
Phone (360) 678-7656

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

125 N 18th St
Ste C
Mount Vernon, WA 98273
Phone (360) 428-7274

3900 Capital Mall Dr SW
Olympia, WA 98502
Phone (360) 704-4743

934 Sheridan St
Port Townsend, WA 98368
Phone (360) 385-5330

1200 W Sims Way
Ste C
Port Townsend, WA 98368
Phone (360) 385-6297

834 Sheridan St
Port Townsend, WA 98368
Phone (360) 344-0400

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Organizations & group practices 10

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": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1689664989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17916",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111034",
            "telephone_number": "888-896-9369",
            "fax_number": "775-852-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 QUINLAN ST # 372",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285314",
            "telephone_number": "775-241-8553",
            "fax_number": "775-852-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSCHMANN",
        "first_name": "ALFRED",
        "middle_name": "CARL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "J8111",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "J8111",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "J6111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "105120302",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105120301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "86870J",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

Verify at the official NPI Registry.