ROSHNI DURGAM M.D.
NPI 1821385618
Physical Medicine & Rehabilitation in Sugar Land, TX

Active since June 30, 2011PECOS EnrolledAccepts Medicare Assignment
1325 HIGHWAY 6, SUGAR LAND, TX 77478(347) 766-0973 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 18, 2018, Jul 16, 2018 (2 updates tracked since 2018).

About Roshni Durgam M.d. NPPES

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

ROSHNI DURGAM M.D. (NPI 1821385618) is an individual physical medicine & rehabilitation provider in Sugar Land, Texas, licensed in Texas (R5541) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Oakbend Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1821385618
Entity TypeIndividualFemale
Primary Taxonomy208100000X
Provider Legal NameROSHNI DURGAMCredential: M.D.
Location Address1325 HIGHWAY 6Sugar Land, TX 77478-4906
Mailing Address4519 Miller Ridge LnSugar Land, TX 77479-3644
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJune 30, 2011
Last NPPES UpdateMarch 25, 20242 updates tracked since enumeration
NPPES CertifiedMarch 25, 2024
NPI 1821385618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
Licenses Licensed in TX · R5541 Licensed in NY · 277215 Licensed in NJ · 25MA09862400
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
1325 HIGHWAY 6, Sugar Land, TX 77478

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

Roshni Durgam M.d. 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 ID2264750454
PECOS Enrollment IDI20180216000880
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,394 services221 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
182 services171 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
148 services138 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
28 services25 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
27 services25 patients

Hospital Affiliations CMS Care Compare 3

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

Oakbend Medical Center

Acute Care Hospitals · Richmond, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450330
Location1705 Jackson StRichmond, TX 77469 · Fort Bend 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

Memorial Hermann Sugar Land Hospital

Acute Care Hospitals · Sugar Land, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450848
Location17500 W Grand Parkway SouthSugar Land, TX 77479 · Fort Bend County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 20

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers11 claims11 services$44.59 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
2 suppliers26 claims26 services$48.70 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
4 suppliers11 claims11 services$45.36 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
2 suppliers32 claims32 services$45.58 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers21 claims21 services$15.18 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
4 suppliers19 claims19 services$43.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

Physical Medicine & Rehabilitation
1325 HIGHWAY 6
SUGAR LAND, TX 77478
Physical Medicine & Rehabilitation
1325 HIGHWAY 6
SUGAR LAND, TX 77478
Rehabilitation Hospital
1325 HIGHWAY 6
SUGAR LAND, TX 77478
Physical Medicine & Rehabilitation
1325 HIGHWAY 6
SUGAR LAND, TX 77478
Rehabilitation Hospital
1325 HIGHWAY 6
SUGAR LAND, TX 77478
Physical Medicine & Rehabilitation
1325 HIGHWAY 6
SUGAR LAND, TX 77478
Physical Medicine & Rehabilitation
1325 HIGHWAY 6
SUGAR LAND, TX 77478

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 Roshni Durgam's NPI number?

The NPI number for Roshni Durgam is 1821385618. It was assigned to this individual provider in the NPPES registry on June 30, 2011.

Where is Roshni Durgam located?

Roshni Durgam practices at 1325 Highway 6, Sugar Land, TX 77478. The listed phone number is (347) 766-0973.

What is Roshni Durgam's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Roshni Durgam enrolled in Medicare?

Yes. Roshni Durgam 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 Roshni Durgam accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Roshni Durgam 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 Roshni Durgam affiliated with any hospitals?

According to CMS data, Roshni Durgam is affiliated with Oakbend Medical Center, Houston Methodist Sugarland Hospital and Memorial Hermann Sugar Land Hospital.

When was this NPI record last updated?

The NPPES record for Roshni Durgam was last updated on March 25, 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.