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PAUL ANDREW ROZEBOOM M.D.
NPI 1730172040
Pediatrics - Adolescent Medicine in Shenandoah, IA

Active since August 23, 2005PECOS Enrolled
1 JACK FOSTER DR, SHENANDOAH, IA 51601(712) 246-7400(712) 246-7334 Get Directions Write a Review

NPPES record last updated: March 13, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Paul Andrew Rozeboom M.d. NPPES

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

PAUL ANDREW ROZEBOOM M.D. (NPI 1730172040) is an individual adolescent medicine provider in Shenandoah, Iowa, licensed in Iowa (32107) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730172040
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NamePAUL ANDREW ROZEBOOMCredential: M.D.
Location Address1 JACK FOSTER DRShenandoah, IA 51601-4586
Mailing Address300 Pershing AveShenandoah, IA 51601-2355 · (712) 246-1230
Phone(712) 246-7400
Fax(712) 246-7334
Sole ProprietorNo
Enumeration DateAugust 23, 2005
Last NPPES UpdateMarch 13, 2017
✔ NPI 1730172040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in IA · 32107
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
1 JACK FOSTER DR, Shenandoah, IA 51601
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Other Identifiers 2

Medicare UPINE12541
Medicare OSCAR/certificationIB2716019IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul Andrew Rozeboom M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Paul Rozeboom reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shenandoah Medical Center
Same address
Rural Health
1 JACK FOSTER DR
Shenandoah, IA 51601
  • Reassigned Medicare billing, Iowa enrollment
  • 91 clinicians in this Medicare group
NPI 1427300201 (712) 246-7240
Ponca Tribe Of Nebraska
43 mi
Clinic/Center
2602 J ST
Omaha, NE 68107
  • Reassigned Medicare billing, Texas enrollment
  • 31 clinicians in this Medicare group
NPI 1710172879 (402) 733-3612

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. TODD MIKAEL ISAACSON M.D.
Family Medicine
1 JACK FOSTER DR
SHENANDOAH, IA 51601
Page County (712) 246-7400
SHELBY MARIE VANLEUVEN ARNP
Nurse Practitioner (Family)
1 JACK FOSTER DR
SHENANDOAH, IA 51601
Page County (712) 246-7400
HOLLY LYNN JORGENSEN FNP, ARNP
Nurse Practitioner (Family)
1 JACK FOSTER DR
SHENANDOAH, IA 51601
Page County (712) 246-7400
SHENANDOAH MEDICAL CENTER
Nurse Practitioner
1 JACK FOSTER DR
SHENANDOAH, IA 51601
Page County (712) 246-7400
MARTEE R MACLEOD-KOZAL M.D.
Obstetrics & Gynecology
1 JACK FOSTER DR
SHENANDOAH, IA 51601
Page County (712) 246-7054
TONJA BATT LMHC
Counselor (Mental Health)
1 JACK FOSTER DR
SHENANDOAH, IA 51601
Page County (712) 246-4627
NEBRASKA MEDICAL CENTER
Family Medicine
1 JACK FOSTER DR
SHENANDOAH, IA 51601
Page County (712) 246-7400
RACHEL LAUREN TIMMERMAN APRN
Nurse Practitioner
1 JACK FOSTER DR
SHENANDOAH, IA 51601
Page County (712) 246-7400

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 Paul Rozeboom's NPI number?

The NPI number for Paul Rozeboom is 1730172040. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Where is Paul Rozeboom located?

Paul Rozeboom practices at 1 Jack Foster Dr, Shenandoah, IA 51601. The listed phone number is (712) 246-7400.

What is Paul Rozeboom's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Paul Rozeboom enrolled in Medicare?

Yes. Paul Rozeboom is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Paul Rozeboom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Rozeboom reassigns Medicare benefits to 2 organizations: Shenandoah Medical Center (Shenandoah, IA) and Ponca Tribe Of Nebraska (Omaha, NE). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Rozeboom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Rozeboom accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Oscar Insurance Company and UnitedHealthcare list Paul Rozeboom 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.

When was this NPI record last updated?

The NPPES record for Paul Rozeboom was last updated on March 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.