Individual provider Active NPI

Mary Rosenquist, D.O.

  • Family Medicine Physician
  • Huntsville, TX
National Provider Identifier
1700939311
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N0417 Issued in TX
Practice address
123 Medical Park LN Ste a
Huntsville, TX 77340-4981
Phone
(936) 291-2116
Fax
(936) 435-7824
NPI assigned
Jan 18, 2007
Last updated
Oct 15, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N0417 TX Primary

Addresses

Primary practice location

123 Medical Park LN Ste a
Huntsville, TX 77340-4981

Mailing address

123 Medical Park LN Ste a
Huntsville, TX 77340-4981
Phone (936) 291-2116

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
I20090324000580 TX Practitioner - Family Practice 3476567389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Huntsville Family Medicine, LLPGroup PAC ID 2769446590, 5 clinicians

Practice addresses (Care Compare)

123 Medical Park LN
Suite a
Huntsville, TX 77340-4981
Phone (936) 291-2116

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.35 of 100Reported as apm
Quality
58.35
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Huntsville Family Medicine, LLP CurrentSince Jan 1, 2009 Accepting new patients
Singing River Health System Past Accepting new patients

Locations

123 Medical Park Ln
Ste A
Huntsville, TX 77340
Phone (409) 291-2116

Interoperability endpoints

  • Direct secure messaging: hmhmrosin@yourcarecommunity.org
  • Direct secure messaging: maryrosenquist@huntsvillefamilymedicine.ssdirect.aprima.com

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224028800000",
    "number": "1700939311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 MEDICAL PARK LN STE A",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404981",
            "telephone_number": "936-291-2116",
            "fax_number": "936-435-7824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 MEDICAL PARK LN STE A",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404981",
            "telephone_number": "936-291-2116",
            "fax_number": "936-435-7824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENQUIST",
        "first_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N0417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, TX

Sources for this page

Verify at the official NPI Registry.