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SUSAN G ROUX M.D. NPI 1154330702


NPI Information

NPI: 1154330702
Provider Name: SUSAN G ROUX, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
ONE HOAG DRIVE
NEWPORT BEACH, CA
ZIP 92663
Phone: (949) 263-8620
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Susan G Roux, M.D. is a diagnostic radiology radiology in Newport Beach, CA with 45 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Susan G Roux, M.D. NPI is 1154330702. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduation Year:1979

The provider's business location address is:

ONE HOAG DRIVE
NEWPORT BEACH, CA
ZIP 92663-162
Phone: (949) 263-8620
Fax: (949) 263-1639

The NPI 1154330702 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Mammography of both breasts (HCPCS:77067)
  • Bone density measurement using dedicated x-ray machine (HCPCS:77080)

The enumeration date for this NPI number is 8/5/2006 and was last updated on 12/12/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085B0100XRadiologyBody ImagingG60193CALIFORNIANo
22085N0700XRadiologyNeuroradiologyG60193CALIFORNIANo
32085N0904XRadiologyNuclear RadiologyG60193CALIFORNIANo
42085P0229XRadiologyPediatric RadiologyG60193CALIFORNIANo
52085R0204XRadiologyVascular & Interventional RadiologyG60193CALIFORNIANo
62085U0001XRadiologyDiagnostic UltrasoundG60193CALIFORNIANo
72085R0202XRadiologyDiagnostic RadiologyG60193CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1WG60193AAMEDICARE PINCALIFORNIA
200G601930OTHERCALIFORNIABLUE SHIELD
3E73292MEDICARE UPINCALIFORNIA
4WG60193BBMEDICARE PINCALIFORNIA
5WG60193MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.