Active NPI
James A Roseberry, DO
- Emergency Medicine Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2897
- Practice address
- 3617 NW Expressway
Oklahoma City, OK 73112-4405 - Phone
- (405) 835-2771
- NPI assigned
- May 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2897 | OK | Primary |
| Emergency Medicine Physician | 207P00000X | 34005489R | OH |
Addresses
Primary practice location
3617 NW Expressway
Oklahoma City, OK 73112-4405
Mailing address
2550 N Thunderbird Cir Ste 303
Mesa, AZ 85215-1219
Phone (602) 288-6776
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000315975 | Other | BCBS | |
| 0886975 | Medicaid | OH | |
| P00100022 | Other | RR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10701 N Rockwell Ave
Oklahoma City, OK 73162-4537
Phone (405) 470-1500
3617 NW Expressway
Oklahoma City, OK 73112-4405
Phone (405) 835-2771
5300 SE 29TH St
Oklahoma City, OK 73115-4702
Phone (405) 835-2770
9917 SE 15TH St
Midwest City, OK 73130-5504
Phone (405) 622-2070
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34005489R | OH | MD | Emergency Medicine Physician |
| 2897 | OK | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | Current | Accepting new patients | |
| Medical Resource Management, LLC | Current | Accepting new patients | |
| Tulsa Emergency Medical Center Inc | Current | Accepting new patients | |
| Oca MWC LP | Past | Accepting new patients | |
| West Central Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Upper Valley Medical Center | Past | Accepting new patients |
Locations
2550 N Thunderbird Cir
Ste 303
Mesa, AZ 85215
Phone (480) 289-7890
3617 NW Expressway
Oklahoma City, OK 73112
Phone (405) 835-2771
10601 S Western Ave
Ste 100
Oklahoma City, OK 73170
10701 N Rockwell Ave
Oklahoma City, OK 73162
Phone (405) 470-1500
2929 S Garnett Rd
Tulsa, OK 74129
Phone (918) 665-1520
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- james.roseberry.p8@direct.nextcare.nextgenshare.com
- james.roseberrydo.p10@direct.nextcare.nextgenshare.com
Organizations & group practices 6
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.
-
- Urgent Care Clinic/Center
- Edmond, OK
- NPI 1104056365
-
- Urgent Care Clinic/Center
- Tulsa, OK
- NPI 1063479087
-
- Family Medicine Physician
- Midwest City, OK
- NPI 1417105321
-
- General Acute Care Hospital
- Troy, OH
- NPI 1184638942
-
- Emergency Medicine Physician
- Troy, OH
- NPI 1578558417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641513600000",
"number": "1700832946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 N THUNDERBIRD CIR STE 303",
"city": "MESA",
"state": "AZ",
"postal_code": "852151219",
"telephone_number": "602-288-6776",
"fax_number": "480-776-0025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3617 NW EXPRESSWAY",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731124405",
"telephone_number": "405-835-2771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSEBERRY",
"first_name": "JAMES",
"middle_name": "A",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2022-01-07",
"certification_date": "2022-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "2897",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "34005489R",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000315975",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0886975",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR",
"identifier": "P00100022",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.