Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

GLENN S. ROUSH M.D.
NPI 1063461416
Radiology - Diagnostic Radiology in Albuquerque, NM

Active since May 10, 2006
4411 THE 25 WAY NE, ALBUQUERQUE, NM 87109(505) 332-6921(256) 382-6455 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Glenn S. Roush M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENN S. ROUSH M.D. (NPI 1063461416) is an individual diagnostic radiology provider in Albuquerque, New Mexico, licensed in New Mexico (79-83) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1063461416
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameGLENN S. ROUSHCredential: M.D.
Location Address4411 THE 25 WAY NEAlbuquerque, NM 87109-5888
Mailing Address121 Greystone DrHillsboro, OH 45133-1537 · (937) 393-6959 · Fax (937) 393-6959
Fax(256) 382-6455
Sole ProprietorNo
Enumeration DateMay 10, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1063461416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in NM · 79-83
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

4411 THE 25 WAY NE, Albuquerque, NM 87109

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
4411 THE 25 WAY NE
ALBUQUERQUE, NM 87109
Radiology (Diagnostic Radiology)
4411 THE 25 WAY NE, SUITE 150
ALBUQUERQUE, NM 87109
Social Worker
4411 THE 25 WAY NE
ALBUQUERQUE, NM 87109
Radiology (Diagnostic Radiology)
4411 THE 25 WAY NE, SUITE 150
ALBUQUERQUE, NM 87109
Radiology (Diagnostic Radiology)
4411 THE 25 WAY NE, SUITE 150
ALBUQUERQUE, NM 87109
Radiology (Diagnostic Radiology)
4411 THE 25 WAY NE, STE 150
ALBUQUERQUE, NM 87109
Radiology (Diagnostic Radiology)
4411 THE 25 WAY NE, SUITE 150
ALBUQUERQUE, NM 87109
Radiology (Diagnostic Radiology)
4411 THE 25 WAY NE, STE 150
ALBUQUERQUE, NM 87109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenn Roush's NPI number?

The NPI number for Glenn Roush is 1063461416. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Glenn Roush located?

Glenn Roush practices at 4411 The 25 Way NE, Albuquerque, NM 87109. The listed phone number is (505) 332-6921.

What is Glenn Roush's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Glenn Roush was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.