NPIMap

Individual provider Active NPI

Dennis J Rocheleau, DO

  • Internal Medicine Physician
  • Fort Cavazos, TX
National Provider Identifier
1952822165
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2048 Issued in NE
Practice address
590 Medical Center Rd
Ft. Cavazos, TX 76544
Phone
(603) 321-4214
Fax
(915) 742-4363
NPI assigned
Jun 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 2048 NE Primary

Addresses

Primary practice location

590 Medical Center Rd
Ft. Cavazos, TX 76544

Mailing address

5005 N Piedras Street
Wbamc-Gme
El Paso, TX 79920-5001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240816000707 MA Practitioner - Internal Medicine 4789009986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of New England, College of Osteo Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mass General Brigham Medical Group, Inc.Group PAC ID 3971987108, 140 clinicians

Practice addresses (Care Compare)

1153 Centre St
Jamaica Plain, MA 02130-3446
Phone (617) 726-4121

2014 Washington St
Newton, MA 02462-1607
Phone (617) 243-6040

47 Middlesex Tpke
Burlington, MA 01803-4945
Phone (857) 282-8100

55 Fruit St
Boston, MA 02114-2621
Phone (617) 726-4121

75 Francis St
Boston, MA 02115-6110
Phone (617) 726-4121

81 Highland Ave
Salem, MA 01970-2714
Phone (617) 726-4121

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2048NEMDGerontology Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Home Care, Inc. Current Accepting new patients
Mass General Brigham Medical Group, Inc. Internal Medicine CurrentSince Oct 7, 2024 Accepting new patients
North Shore Medical Center, Inc. Past Accepting new patients
The General Hospital Corporation Past Accepting new patients

Locations

47 Middlesex Tpke
Burlington, MA 01803
Phone (857) 282-8100

Interoperability endpoints

  • Direct secure messaging: rocheleau.dennis.mgbhc@direct.partners.masshiway.net

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1952822165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 N PIEDRAS STREET",
            "address_2": "WBAMC-GME",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799205001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 MEDICAL CENTER RD",
            "city": "FT. CAVAZOS",
            "state": "TX",
            "postal_code": "76544",
            "telephone_number": "603-321-4214",
            "fax_number": "915-742-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHELEAU",
        "first_name": "DENNIS",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-28",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "2048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Cavazos, TX

Sources for this page

Verify at the official NPI Registry.