DR. PATRICK THOMAS ROUGHNEEN M.D. NPI 1205847936

NPI Information

  • NPI: 1205847936
  • Provider Name: DR. PATRICK THOMAS ROUGHNEEN, M.D.
  • Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1600 W COLLEGE ST
    SUITE 555
    GRAPEVINE, TX
    ZIP 76051
  • Phone: (817) 552-1900

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NPI Details

DR. Patrick Thomas Roughneen, M.D. is a thoracic surgery cardiothoracic vascular surgery in Grapevine, TX with 44 years of experience. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. DR. Patrick Thomas Roughneen, M.D. NPI is 1205847936. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1600 W COLLEGE ST
SUITE 555
GRAPEVINE, TX
ZIP 76051-580
Phone: (817) 552-1900
Fax: (817) 552-1902

The NPI 1205847936 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.

  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Coronary artery bypass graft (CABG) (HCPCS:NAN07)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 8/10/2006 and was last updated on 3/18/2008.

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
12086S0129XSurgeryVascular SurgeryJ1480TEXASNo
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)J1480TEXASYes

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
18D0022MEDICARE ID-TYPE UNSPECIFIEDTEXASCOLLIN COUNTY
20053MAOTHERTEXASBLUE CROSS/BLUE SHIELDS
3DE9002OTHERTEXASRAILROAD MEDICARE PIN
4F89490MEDICARE UPINTEXAS
58D0857MEDICARE ID-TYPE UNSPECIFIEDTEXASDALLAS COUNTY
68C9672MEDICARE ID-TYPE UNSPECIFIEDTEXASTARRANT COUNTY

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: 11/21/2025

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