Individual provider Active NPI

Robert Michael Rouzaud, D.D.S.

  • Dentist
  • Cleveland, OH
National Provider Identifier
1861607301
Registry record updated Jul 9, 2007
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Jan 19, 2017.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30-01-9103 Issued in OH
Practice address
1026 E 152ND St
Cleveland, OH 44110-3330
Phone
(216) 681-0055
Fax
(216) 681-0055
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30-01-9103 OH Primary

Addresses

Primary practice location

1026 E 152ND St
Cleveland, OH 44110-3330

Mailing address

PO Box 10576
Cleveland, OH 44110-0576
Phone (216) 681-0055

Other identifiers 1

IdentifierTypeStateIssuer
0762554MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1861607301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10576",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441100576",
            "telephone_number": "216-681-0055",
            "fax_number": "216-681-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 E 152ND ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441103330",
            "telephone_number": "216-681-0055",
            "fax_number": "216-681-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUZAUD",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-01-9103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0762554",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.