Iraj Roshan, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

J8747 Issued in TX

Practice address

1519 W Panola St
Carthage, TX 75633

Phone

(903) 694-2871

Fax

(903) 694-2895

NPI assigned

Jul 4, 2006

Last updated

Apr 12, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23550/brand/1/csg/1/fhir/r4

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.

• Regional Employee Assistance Program Inc

  • Family Medicine Physician
  • Corsicana, TX
  • NPI 1649232984
  Medicare reassignment NPD
• Regional Employee Assistance Program Inc

  • Cardiovascular Disease Physician
  • Abilene, TX
  • NPI 1073575585
  NPD
• Diagnostic Clinic of Longview PA

  • Internal Medicine Physician
  • Longview, TX
  • NPI 1386638468
  NPD (past)
• Bloomington Cardiology PC

  • Cardiovascular Disease Physician
  • Bloomington, IN
  • NPI 1558423806
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365724800000",
    "number": "1699705756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847176",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752847176",
            "telephone_number": "903-237-1800",
            "fax_number": "903-237-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 W PANOLA ST",
            "city": "CARTHAGE",
            "state": "TX",
            "postal_code": "75633",
            "telephone_number": "903-694-2871",
            "fax_number": "903-694-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSHAN",
        "first_name": "IRAJ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2013-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "J8747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029937202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00175649",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vidyasagar Gurram Reddy
• Renal Care Group Texas, Inc. (Carthage Dialysis Center)
• Tawhanna Faye Rice
• Robert G Callahan MD PMC
• Ariel Briana Roberts
• Kendall Russell, FNP-C
• Venkata Samavedi, MD
• Shep Next Step Solutions
• SLP Carthage LLC
• Bernice Smith

• Cardiovascular Disease Physician in Carthage, TX
• Providers in Carthage, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.