DR. DONALD C ROA MD
NPI 1811987563
Internal Medicine - Cardiovascular Disease in Harlingen, TX
About Dr. Donald C Roa Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DONALD C ROA MD (NPI 1811987563) is an individual cardiovascular disease provider in Harlingen, Texas, licensed in Texas (L7141) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Vhs Harlingen Hospital Company Llc, and is a graduate of Other (1994).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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. Donald C Roa 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.
Areas of Expertise CMS Part B claims 23
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Vhs Harlingen Hospital Company LLC
Acute Care Hospitals · Harlingen, TXHouston Methodist Hospital
Acute Care Hospitals · Houston, TXHarlingen Medical Center
Acute Care Hospitals · Harlingen, TXDoctors Hosptal At Renaissance
Acute Care Hospitals · Edinburg, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78550 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HARLINGEN, TX 78550
HARLINGEN, TX 78550
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 Donald Roa's NPI number?
The NPI number for Donald Roa is 1811987563. It was assigned to this individual provider in the NPPES registry on October 25, 2005.
Where is Donald Roa located?
Donald Roa practices at 1821 S Sesame Square Suite 9, Harlingen, TX 78550. The listed phone number is (956) 412-7099.
What is Donald Roa's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Donald Roa enrolled in Medicare?
Yes. Donald Roa 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 Donald Roa accept?
Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Donald Roa 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 Donald Roa affiliated with any hospitals?
According to CMS data, Donald Roa is affiliated with Vhs Harlingen Hospital Company LLC, Houston Methodist Hospital, Harlingen Medical Center and Doctors Hosptal At Renaissance.
When was this NPI record last updated?
The NPPES record for Donald Roa was last updated on April 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.