Individual provider Active NPI

Roxanne Marie Tyroch, M.D.

  • Internal Medicine Physician
  • El Paso, TX
National Provider Identifier
1972571743
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K1945 Issued in TX
Practice address
154 N Festival Dr # Villa F
El Paso, TX 79912-6266
Phone
(915) 532-5858
Fax
(915) 532-5859
NPI assigned
Mar 9, 2006
Last updated
Apr 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K1945 TX Primary

Addresses

Primary practice location

154 N Festival Dr # Villa F
El Paso, TX 79912-6266

Mailing address

5823 N Mesa St # 537
El Paso, TX 79912-4607
Phone (915) 261-4377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050316000528 TX Practitioner - Internal Medicine 6103871769 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Arizona College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

154 N Festival Dr
Villa F
El Paso, TX 79912-6266
Phone (915) 532-5858

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K1945TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intellimedicine, PA Internal Medicine CurrentSince Apr 18, 2014 Accepting new patients
Lonestar Hospital Medicine Associates, PA Internal Medicine CurrentSince Jun 1, 2015 Accepting new patients

Locations

154 N Festival Dr
El Paso, TX 79912
Phone (915) 209-0311

154 N Festival Dr
Ste F
El Paso, TX 79912
Phone (915) 532-5858

5823 N Mesa St
El Paso, TX 79912
Phone (915) 240-7073

6112 N Mesa St
El Paso, TX 79912
Phone (915) 205-3091

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8722/brand/1/csg/1/fhir/r4
  • Direct secure messaging: roxanne.tyroch.1@16730.direct.athenahealth.com
  • Direct secure messaging: roxanne.tyroch.1@8722.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1972571743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5823 N MESA ST # 537",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799124607",
            "telephone_number": "915-261-4377",
            "fax_number": "915-532-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 N FESTIVAL DR # VILLA F",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126266",
            "telephone_number": "915-532-5858",
            "fax_number": "915-532-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYROCH",
        "first_name": "ROXANNE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K1945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.