Individual provider Active NPI

Howard Michael Roesen, D.P.M.

  • Foot Surgery Podiatrist
  • Newport News, VA
National Provider Identifier
1790721223
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
103-000869 Issued in VA
Practice address
754 McGuire PL
Newport News, VA 23601-1630
Phone
(757) 599-5710
Fax
(757) 591-0552
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 103-000869 VA Primary

Addresses

Primary practice location

754 McGuire PL
Newport News, VA 23601-1630

Mailing address

1600 E Gude Dr Ste 200
Rockville, MD 20850-1496
Phone (301) 933-7133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110210001021 VA Practitioner - Podiatry 2860505351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Specialists of the Mid-Atlantic LLCGroup PAC ID 6305017633, 157 clinicians

Practice addresses (Care Compare)

66 Pkwy LN
Suite 102
Fishersville, VA 22939-2385
Phone (540) 949-5150

754 McGuire PL
Newport News, VA 23601-1630
Phone (757) 599-5710

Hospital & facility affiliations

  • Riverside Regional Medical Center Hospital, Newport News, VA, CCN 490052

Merit-based Incentive Payment System (MIPS)

Final score
88.95 of 100Reported as group
Promoting interoperability
87
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue85
Removal of skin lesions22
Removal of nail tissue1475
Removal or shaving of skin growth544
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
103-000869VAMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC CurrentSince Jun 1, 2019 Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC CurrentSince Jun 1, 2019 Accepting new patients

Locations

1600 E Gude Dr
Ste 200
Rockville, MD 20850

13609 Carrollton Blvd
Ste 11
Carrollton, VA 23314
Phone (757) 238-8751

66 Parkway Ln
Ste 102
Fishersville, VA 22939
Phone (540) 949-5150

2210 Executive Dr
Ste E
Hampton, VA 23666
Phone (757) 896-8800

754 McGuire Pl
Newport News, VA 23601
Phone (757) 599-5710

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1790721223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E GUDE DR STE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208501496",
            "telephone_number": "301-933-7133",
            "fax_number": "757-591-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 MCGUIRE PL",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011630",
            "telephone_number": "757-599-5710",
            "fax_number": "757-591-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROESEN",
        "first_name": "HOWARD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "VA",
            "license": "103-000869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.