RANDOLPH R. ROUGH M.D. – NPI #1376525196
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

RANDOLPH ROUGH is a physician located in WEST DES MOINES, IA. NPPES has assigned the NPI number 1376525196 to RANDOLPH ROUGH on November 17, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 6 years ago on Jun 14, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RANDOLPH ROUGH below.

NPI Profile for
RANDOLPH R. ROUGH

NPI Number
1376525196
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RANDOLPH R. ROUGH
Credentials
M.D.
Primary location
5880 UNIVERSITY AVE STE 102
WEST DES MOINES, IA 50266-8209
Phone: (515) 633-3600 Fax: (515) 288-0840
Mailing address
PO BOX 9170
DES MOINES, IA 50306-9170
Phone: (515) 633-3600 Fax: (515) 633-3838
Sole Proprietor
No
Updated
Certification Date
Jun 14, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for RANDOLPH ROUGH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIA0206607
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
IA 23764

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
RANDOLPH ROUGH is affiliated with the following medical group(s):
  • HOSPITAL
    • GREATER REGIONAL MEDICAL CENTER
      1700 WEST TOWNLINE STREET
      CRESTON, IA 50801
    • MERCYONE CENTERVILLE MEDICAL CENTER
      ONE ST JOSEPH'S DRIVE
      CENTERVILLE, IA 52544
    • MERCYONE DES MOINES MEDICAL CENTER
      1111 6TH AVE
      DES MOINES, IA 50314
    • MERCYONE NEWTON MEDICAL CENTER
      204 N 4TH AVE E
      NEWTON, IA 50208
    • PELLA REGIONAL HEALTH CENTER
      404 JEFFERSON STREET
      PELLA, IA 50219

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