Active NPI
Maurice R Roulhac, MD
- Vascular Surgery Physician
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 9300304
- Practice address
- 1251 Oliver St
Fayetteville, NC 28304-4450 - Phone
- (910) 822-6587
- Fax
- (910) 426-6587
- NPI assigned
- Jun 9, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 9300304 | NC | Primary |
Addresses
Primary practice location
1251 Oliver St
Fayetteville, NC 28304-4450
Mailing address
PO Box 2493
Durham, NC 27715-2493
Phone (919) 544-6318
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 73468 | Other | NC | BCBS NC INDIV NO |
| 8973468 | Medicaid | NC | |
| P00131858 | Other | NC | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- 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
- Vascular Surgery
- Education
- University of South Florida College of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1044 S 88TH St
Suite 105
Louisville, CO 80027-9418
Phone (813) 961-1331
Hospital & facility affiliations
- HCA Healthone Mountain Ridge
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 386 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Medical Group, PLLC | Surgery | Current | Accepting new patients |
| Colorado Medical Group, PLLC | Surgery | Past | Accepting new patients |
| Colorado Medical Group, PLLC | Vascular Surgery | Past | Accepting new patients |
| Colorado Medical Group, PLLC | Surgery | Past | Accepting new patients |
| Village Surgical Associates PA | Past | Accepting new patients | |
| Colorado Medical Group, PLLC | Surgery | Past | Accepting new patients |
Locations
5657 S Himalaya St
Ste 210
Centennial, CO 80015
6979 S Holly Cir
Ste 125
Centennial, CO 80112
3535 S Lafayette St
Ste 100
Englewood, CO 80113
Phone (303) 761-7800
3665 John F Kennedy Pkwy
Bldg 200
Fort Collins, CO 80525
6179 S Balsam Way
Ste 200
Littleton, CO 80123
Phone (303) 933-2555
1551 Professional Ln
Unit 241
Longmont, CO 80501
1044 S 88th St
Ste 105
Louisville, CO 80027
Phone (303) 301-9019
9195 Grant St
Ste 300
Thornton, CO 80229
Phone (303) 280-2229
3810 Northdale Blvd
Ste 260
Tampa, FL 33624
3810 Northdale Blvd
Ste 150
Tampa, FL 33624
Phone (813) 683-4784
Interoperability endpoints
- maurice.roulhac@uvvc.eclinicaldirectplus.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.
-
- Vascular Surgery Physician
- Fort Collins, CO
- NPI 1356714638
-
- Specialist
- Fayetteville, NC
- NPI 1891759437
-
- Vascular Surgery Physician
- Englewood, CO
- NPI 1053928234
-
- Vascular Surgery Physician
- Fort Collins, CO
- NPI 1467069120
-
- Vascular Surgery Physician
- Thornton, CO
- NPI 1811504582
-
- Vascular Surgery Physician
- Centennial, CO
- NPI 1881306033
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Thornton, CO
- NPI 1821042979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206576000000",
"number": "1801837109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2493",
"city": "DURHAM",
"state": "NC",
"postal_code": "277152493",
"telephone_number": "919-544-6318",
"fax_number": "919-544-6336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1251 OLIVER ST",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283044450",
"telephone_number": "910-822-6587",
"fax_number": "910-426-6587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROULHAC",
"first_name": "MAURICE",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2008-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NC",
"license": "9300304",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NC INDIV NO",
"identifier": "73468",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8973468",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00131858",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.