Individual provider Active NPI

Robert Homer Roswell, M.D.

  • Internal Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1699778126
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10955 Issued in OK
Practice address
911 Stanton L. Young Blvd.
Oklahoma City, OK 73190-0001
Phone
(405) 271-2307
Fax
(450) 527-1303
NPI assigned
May 30, 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
Internal Medicine Physician 207R00000X 10955 OK Primary

Addresses

Primary practice location

911 Stanton L. Young Blvd.
Oklahoma City, OK 73190-0001

Mailing address

1101 Frontier Cir
Edmond, OK 73025-2583
Phone (405) 314-4339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160506001195 OK Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 1254630650

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1117411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1699778126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 FRONTIER CIR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730252583",
            "telephone_number": "405-314-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 STANTON L. YOUNG BLVD.",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731900001",
            "telephone_number": "405-271-2307",
            "fax_number": "450-527-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSWELL",
        "first_name": "ROBERT",
        "middle_name": "HOMER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "10955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.