Jonathan Richard Roskam, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01032218A Issued in IN

Practice address

1500 Albany St
Beech Grove, IN 46107-1555

Phone

(317) 532-7800

Fax

(317) 532-7801

NPI assigned

Sep 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: droskam386@direct.franciscanalliance.org

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1851586143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14477 TWIN OAKS DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460329725",
            "telephone_number": "317-846-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 ALBANY ST",
            "city": "BEECH GROVE",
            "state": "IN",
            "postal_code": "461071555",
            "telephone_number": "317-532-7800",
            "fax_number": "317-532-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSKAM",
        "first_name": "JONATHAN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-10",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01032218A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl Anthony Palma, ATC
• Paul Hermitage Operator LLC
• Pixey Counseling and Consulting, LLC
• Donald E Pounds Jr.
• Quantara Clinical Labs LLC
• Jeff Russ, PT
• Joseph Schnepp
• Phoebe Shackelford, PHARMD
• Nalin M Shah, M.D.
• Russell Sinn, M.D.

• Internal Medicine Physician in Beech Grove, IN
• Providers in Beech Grove, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.