Active NPI
Thomas Fretz Roush, M.D.
- Orthopaedic Surgery Physician
- West Palm Beach, FL
National Provider Identifier
1942240965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 207X00000X
- Practice address
- 1818 S Australian Ave
Suite 108
West Palm Beach, FL 33409 - Phone
- (561) 296-2450
- Fax
- (561) 290-1015
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 207X00000X | NC | Primary |
Addresses
Primary practice location
1818 S Australian Ave
Suite 108
West Palm Beach, FL 33409
Mailing address
1818 S Australian Ave
Suite 108
West Palm Beach, FL 33409
Phone (561) 296-2450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Aug 28, 2019 through Aug 28, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 207X00000X | NC | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Comprehensive Spine, Inc. | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Lake Worth, FL
- NPI 1326411075
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1942240965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1818 S AUSTRALIAN AVE",
"address_2": "SUITE 108",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "33409",
"telephone_number": "561-296-2450",
"fax_number": "561-290-1015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 S AUSTRALIAN AVE",
"address_2": "SUITE 108",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "33409",
"telephone_number": "561-296-2450",
"fax_number": "561-290-1015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUSH",
"first_name": "THOMAS",
"middle_name": "FRETZ",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2023-03-07",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NC",
"license": "207X00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.