Jack W Rostas III, M.D.

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

License

T5200 Issued in TX

Practice address

4101 22ND PL
Lubbock, TX 79410-1121

Phone

(806) 799-7928

Fax

(806) 788-8560

NPI assigned

May 22, 2008

Last updated

Aug 17, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in AL, IN, TX3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Surgical Oncology

Education

University of South Alabama College of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Swat Surgical Associates LLPGroup PAC ID 1355371832, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Covenant Childrens Hospital Hospital, Lubbock, TX, CCN 453306
• Covenant Medical Center Hospital, Lubbock, TX, CCN 450040
• Providence Portland Medical Center Hospital, Portland, OR, CCN 380061

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Swat Surgical Associates, L.L.P.

  • Surgery Physician
  • Lubbock, TX
  • NPI 1740219724

  Surgical Oncology

  Medicare reassignment Care Compare group NPD
• Daviess County Hospital

  dba Daviess County Hospital Physicians

  • General Acute Care Hospital
  • Washington, IN
  • NPI 1619154820
  Medicare reassignment NPD
• Lakeland Physicians LLC

  • Family Medicine Physician
  • Haleyville, AL
  • NPI 1851780951
  Medicare reassignment NPD
• Daviess County Hospital

  dba Daviess Community Hospital Orthopaedics

  • Orthopaedic Surgery Physician
  • Washington, IN
  • NPI 1083915326
  NPD
• Robert P. Schmid, MD, PA

  dba Lubbock Plastic Surgery Institute

  • Plastic Surgery Physician
  • Lubbock, TX
  • NPI 1881865236
  NPD (past)
• Lakeland Physician Practices LLC

  dba Lakeland Family Practice

  • Family Medicine Physician
  • Haleyville, AL
  • NPI 1679913784
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Covenant Medical Center

  • General Acute Care Hospital
  • Lubbock, TX
  • NPI 1972517365
  Care Compare affiliation
• Methodist Children's Hospital

  dba Covenant Children's Hospital

  • Children's Hospital
  • Lubbock, TX
  • NPI 1437171568
  Care Compare affiliation
• Providence Health & Services - Oregon

  dba Providence Portland Medical Center

  • General Acute Care Hospital
  • Portland, OR
  • NPI 1003991845
  Care Compare affiliation
• Providence Health & Services - Oregon

  • Case Manager/Care Coordinator
  • Portland, OR
  • NPI 1891822995

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1902063282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 22ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101307",
            "telephone_number": "806-799-7928",
            "fax_number": "806-788-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 22ND PL",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101121",
            "telephone_number": "806-799-7928",
            "fax_number": "806-788-8560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3611 22nd Pl",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794101317",
            "country_code": "US",
            "telephone_number": "806-771-2222",
            "fax_number": "806-771-2224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3509 22nd St",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794101307",
            "country_code": "US",
            "telephone_number": "806-799-7928",
            "fax_number": "806-788-8560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSTAS",
        "first_name": "JACK",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-22",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "IL",
            "license": "036143962",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "TX",
            "license": "T5200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jackrostas@dchpm.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "300 NE 14th St",
            "city": "Washington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "475012137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jackrostas@dchpm.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "300 NE 14th St",
            "city": "Washington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "475012137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brittney Marie Rosin, FNP-C
• Ely Louise Ross
• Magan Ross, RD, LD
• Charlsie Grace Rossander
• Madelin Rossi, PA
• Robert Glenn Roten, LPT
• Shelley Dee Ann Roten, O.D.
• Lindsey Roush, M.ED.
• Alan D Row, MD
• Kimberlee Kester Rowan

• Surgical Oncology Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Surgical Oncology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.

Verify at the official NPI Registry.