NPIMap

Individual provider Active NPI

Roger G Stuart Jr., M.D.

  • Urology Physician
  • Mount Pleasant, TX
National Provider Identifier
1942336276
Registry record updated Aug 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
F2467 Issued in TX
Practice address
2001 N Jefferson Ave
Ste 202
Mt Pleasant, TX 75455-2371
Phone
(903) 572-1903
NPI assigned
Feb 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME144511 FL
Urology Physician 208800000X F2467 TX Primary

Addresses

Primary practice location

2001 N Jefferson Ave
Ste 202
Mt Pleasant, TX 75455-2371

Mailing address

2001 N Jefferson Ave
Ste 202
Mt Pleasant, TX 75455-2371
Phone (903) 572-1903

Other practice location 1

701 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-5595
Phone (321) 868-5871

Other identifiers 2

IdentifierTypeStateIssuer
N4476OtherFLFL HF MEDICARE
111208700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, SD, FL3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110209000427 TX Practitioner - Urology 0941480883 Practice locations: Mt Pleasant, TX
I20180420001632 SD Practitioner - Urology 0941480883 Reassigns benefits to 1 organization
I20210726002411 FL Practitioner - Urology 0941480883 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Mississippi School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tallahassee Memorial Healthcare IncGroup PAC ID 6103724778, shared by 11 NPIs, 498 clinicians
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians

Practice addresses (Care Compare)

2619 Centennial Blvd
Suite 102
Tallahassee, FL 32308-0590
Phone (850) 431-2875

353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (605) 755-8109

701 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3585
Phone (321) 799-7128

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F2467TXMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McAllen Hospitalist Group, PLLC CurrentSince Aug 29, 2016 Accepting new patients
Monument Health Rapid City Hospital, Inc CurrentSince Mar 17, 2018 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Mar 17, 2018 Accepting new patients
Health First Medical Group, LLC CurrentSince Jun 14, 2021 Accepting new patients
Halifax Healthcare Systems Inc Urology CurrentSince Oct 13, 2022 Accepting new patients
Health First Medical Group, LLC CurrentSince Jun 14, 2021 Accepting new patients

Locations

699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272

701 W Cocoa Beach Cswy
Cocoa Beach, FL 32931
Phone (321) 799-7111

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

301 W Expressway 83
McAllen, TX 78503
Phone (956) 467-9552

Organizations & group practices 6

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628380800000",
    "number": "1942336276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 N JEFFERSON AVE",
            "address_2": "STE 202",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754552371",
            "telephone_number": "903-572-1903",
            "fax_number": "903-572-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N JEFFERSON AVE",
            "address_2": "STE 202",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754552371",
            "telephone_number": "903-572-1903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 W Cocoa Beach Cswy",
            "address_purpose": "LOCATION",
            "city": "Cocoa Beach",
            "state": "FL",
            "postal_code": "329315595",
            "country_code": "US",
            "telephone_number": "321-868-5871",
            "fax_number": "321-868-5852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUART",
        "first_name": "ROGER",
        "middle_name": "G",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2021-08-08",
        "certification_date": "2021-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME144511",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "F2467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL HF MEDICARE",
            "identifier": "N4476",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111208700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, TX

Sources for this page

Verify at the official NPI Registry.