Active NPI
Dorothy Annette Rosson, M.D.
- Internal Medicine Physician
- Kerrville, TX
National Provider Identifier
1790704237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- H2004
- Practice address
- 575 Hill Country Dr
2ND Floor
Kerrville, TX 78028 - Phone
- (830) 258-7090
- Fax
- (830) 258-7098
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | H2004 | TX | Primary |
Addresses
Primary practice location
575 Hill Country Dr
2ND Floor
Kerrville, TX 78028
Mailing address
575 Hill Country Dr
Kerrville, TX 78028-6024
Phone (830) 258-7762
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P000D54Z0 | Medicaid | TX | |
| 1228306-03 | Other | TX | TPI |
| 00D54Z | Other | TX | BLUE CROSS/BLUE SHIELD |
| 110034733 | Other | TX | RAILROAD MEDICARE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200312000141 | TX | Order and Referring Only - Internal Medicine | 5395748255 |
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": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527811200000",
"number": "1790704237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 HILL COUNTRY DR",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780286024",
"telephone_number": "830-258-7762",
"fax_number": "830-258-7098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 HILL COUNTRY DR",
"address_2": "2ND FLOOR",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "78028",
"telephone_number": "830-258-7090",
"fax_number": "830-258-7098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSSON",
"first_name": "DOROTHY",
"middle_name": "ANNETTE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2018-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "H2004",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "P000D54Z0",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TPI",
"identifier": "1228306-03",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "00D54Z",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110034733",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kerrville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.