DR. TONY NEDUMKANDATHIL ROSHAN DO
NPI 1770165540
Family Medicine in Houston, TX

Q: What is Tony Roshan's NPI number?

The NPI number for Tony Roshan is 1770165540. It was assigned to this individual provider in the NPPES registry on April 22, 2021.

Q: What is Tony Roshan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Tony Roshan was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since April 22, 2021PECOS EnrolledAccepts Medicare Assignment

6410 FANNIN ST STE 230, HOUSTON, TX 77030(832) 325-6500(713) 512-2236 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 19, 2024, Apr 22, 2021 (2 updates tracked since 2021).

On this page

About Dr. Tony Nedumkandathil Roshan Do NPPES

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

DR. TONY NEDUMKANDATHIL ROSHAN DO (NPI 1770165540) is an individual family medicine provider in Houston, Texas, licensed in Texas (V1879) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1770165540

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. TONY NEDUMKANDATHIL ROSHANCredential: DO

Location Address6410 FANNIN ST STE 230Houston, TX 77030-3002

Mailing Address6410 Fannin St Ste 230Houston, TX 77030-3002 · (832) 325-6500 · Fax (713) 512-2236

Phone(832) 325-6500

Fax(713) 512-2236

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateApril 22, 2021

Last NPPES UpdateSeptember 19, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 19, 2024

✔ NPI 1770165540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · V1879

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6410 FANNIN ST STE 230, Houston, TX 77030

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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. Tony Nedumkandathil Roshan Do 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 ID4284165499

PECOS Enrollment IDI20240930000044

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.

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

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.

Other Providers at the Same Location NPPES 11

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

DR. MAXWELL GILBERT MCCRAY JR. D.O.

Family Medicine