NPIMap

Individual provider Active NPI

Joseph Howard Roosth, M.D.

  • Internal Medicine Physician
  • Pearland, TX
National Provider Identifier
1851308787
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H7345 Issued in TX
Practice address
1834 Broadway St
Suite 102
Pearland, TX 77581-5668
Phone
(281) 997-8181
Fax
(281) 997-8184
NPI assigned
Aug 2, 2006
Last updated
Jul 28, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X H7345 TX Primary

Addresses

Primary practice location

1834 Broadway St
Suite 102
Pearland, TX 77581-5668

Mailing address

1834 Broadway St
Suite 102
Pearland, TX 77581-5668
Phone (281) 997-8181

Other identifiers 1

IdentifierTypeStateIssuer
128481204MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100525000646 TX Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 7719016005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospice/Palliative Care
Education
University of Texas Medical Branch at Galveston, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1834 Broadway St
Suite 102
Pearland, TX 77581-5669
Phone (281) 997-8181

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pearland Diagnostic Clinic, PA CurrentSince Apr 12, 2010 Accepting new patients

Locations

1834 Broadway St
Ste 102
Pearland, TX 77581
Phone (281) 997-8181

3322 E Walnut St
Ste 106
Pearland, TX 77581
Phone (281) 997-8181

Organizations & group practices 1

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 8

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1851308787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 BROADWAY ST",
            "address_2": "SUITE 102",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775815668",
            "telephone_number": "281-997-8181",
            "fax_number": "281-997-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 BROADWAY ST",
            "address_2": "SUITE 102",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775815668",
            "telephone_number": "281-997-8181",
            "fax_number": "281-997-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOSTH",
        "first_name": "JOSEPH",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2014-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H7345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128481204",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.