DR. OSCAR R ROSALES MD
NPI 1194746172
Internal Medicine - Interventional Cardiology in Houston, TX

Active since July 22, 2006PECOS EnrolledAccepts Medicare Assignment
69.09/100
CMS Quality Rating
5115 FANNIN ST STE 801, HOUSTON, TX 77004(713) 790-0841(713) 790-9663 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 24, 2023, May 11, 2022, Nov 12, 2021 (3 updates tracked since 2021).

About Dr. Oscar R Rosales Md NPPES

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

DR. OSCAR R ROSALES MD (NPI 1194746172) is an individual interventional cardiology provider in Houston, Texas, licensed in Texas (H9414) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1194746172
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. OSCAR R ROSALESCredential: MD
Location Address5115 FANNIN ST STE 801Houston, TX 77004-5870
Mailing Address5115 Fannin St Ste 801Houston, TX 77004-5870 · (713) 790-0841 · Fax (713) 790-9663
Fax(713) 790-9663
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateJuly 22, 2006
Last NPPES UpdateMay 22, 20243 updates tracked since enumeration
NPPES CertifiedMay 22, 2024
NPI 1194746172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in TX · H9414
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License H9414 (TX)
5115 FANNIN ST STE 801, Houston, TX 77004

Other Identifiers 1

Medicaid125502806TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Oscar R Rosales Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456412592
PECOS Enrollment IDI20101104000887
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 32

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
1,284 services312 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
982 services480 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
469 services415 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015
An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.
331 services320 patients
Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries A9555
Rubidium Rb-82 is a radioactive drug used in a PET scan to help visualize the heart. It helps detect areas with poor blood flow, aiding in diagnosing heart conditions. The dose is up to 60 millicuries per study.
304 services295 patients
Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan 78431
This is a diagnostic test where a tiny amount of radioactive material is used to examine your heart's blood flow at rest & during stress, alongside a CT scan for detailed images. It helps identify any heart-related issues like blockages or damage.
302 services295 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Houston Methodist Sugarland Hospital

Acute Care Hospitals · Sugar Land, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450820
Location16655 Southwest FreewaySugar Land, TX 77479 · Fort Bend County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77004 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

69.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.69
Promoting Interoperability87
Improvement Activities40
Cost44.1

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.

Internal Medicine (Cardiovascular Disease)
5115 FANNIN ST STE 801
HOUSTON, TX 77004
Nurse Practitioner (Acute Care)
5115 FANNIN ST STE 801
HOUSTON, TX 77004
Nurse Practitioner (Acute Care)
5115 FANNIN ST STE 801
HOUSTON, TX 77004
Nurse Practitioner (Acute Care)
5115 FANNIN ST STE 801
HOUSTON, TX 77004
Internal Medicine (Clinical Cardiac Electrophysiology)
5115 FANNIN ST STE 801
HOUSTON, TX 77004
Internal Medicine (Cardiovascular Disease)
5115 FANNIN ST STE 801
HOUSTON, TX 77004
Internal Medicine (Cardiovascular Disease)
5115 FANNIN ST STE 801
HOUSTON, TX 77004
Internal Medicine (Cardiovascular Disease)
5115 FANNIN ST STE 801
HOUSTON, TX 77004

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 Oscar Rosales's NPI number?

The NPI number for Oscar Rosales is 1194746172. It was assigned to this individual provider in the NPPES registry on July 22, 2006.

Where is Oscar Rosales located?

Oscar Rosales practices at 5115 Fannin St Ste 801, Houston, TX 77004. The listed phone number is (713) 790-0841.

What is Oscar Rosales's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Oscar Rosales enrolled in Medicare?

Yes. Oscar Rosales is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Oscar Rosales accept?

Health plans from UnitedHealthcare and WellPoint list Oscar Rosales as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Oscar Rosales affiliated with any hospitals?

According to CMS data, Oscar Rosales is affiliated with Memorial Hermann - Texas Medical Center, Houston Methodist Hospital and Houston Methodist Sugarland Hospital.

When was this NPI record last updated?

The NPPES record for Oscar Rosales was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.