Wadi Rouel, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C55979 Issued in CA

Practice address

4060 Fairmount Ave
San Diego, CA 92105-1608

Phone

(619) 584-1612

Fax

(619) 281-6738

NPI assigned

Feb 15, 2006

Last updated

Sep 21, 2018By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: wadi.rouel.p1@direct.lamaestra.nextgenshare.com

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.

• Rouel Enterprises Inc.

  dba Jamacha Urgent Medical Center

  • Family Medicine Physician
  • El Cajon, CA
  • NPI 1629453808
  Medicare reassignment NPD
• La Maestra Family Clinic

  dba La Maestra Community Health Center

  • Federally Qualified Health Center (FQHC)
  • National City, CA
  • NPI 1336324904
  NPD (past)
• La Maestra Family Clinic Inc.

  • Dental Clinic/Center
  • El Cajon, CA
  • NPI 1053430710
  NPD (past)
• La Maestra Family Clinic, Inc.

  • Community/Retail Pharmacy
  • El Cajon, CA
  • NPI 1093534463
  NPD (past)
• La Maestra Family Clinic, Inc.

  dba La Maestra Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • El Cajon, CA
  • NPI 1568209773
  NPD (past)
• La Maestra Family Clinic, Inc.

  dba La Maestra Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • El Cajon, CA
  • NPI 1962133348
  NPD (past)
• Rouel Linda MD.Family Practice Inc.

  • Primary Care Clinic/Center
  • Gainesville, FL
  • NPI 1457505844
  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1740254713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 FAIRMOUNT AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051608",
            "telephone_number": "619-584-1612",
            "fax_number": "619-281-6738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 FAIRMOUNT AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051608",
            "telephone_number": "619-584-1612",
            "fax_number": "619-281-6738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUEL",
        "first_name": "WADI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME92300",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C55979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279346600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sophie Rothwell
• Yonatan Zvi Samuel Rotman, MD
• Edward J. Rott, MD
• Kristin Rottino, CCC-SLP
• Timothy P Roty
• Rejina Roufegarinejad
• Morgan Rouland
• Shana Roumi
• Lauren Rounds
• Nicholas Richard Rounds

• Internal Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.