Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark D Roque, MD

Individual provider Pediatrics Physician · NPI 1164427043

Dr. Mark D Roque, MD is a Pediatric Medicine in Simpsonville, South Carolina. Graduated from Eastern Virginia Medical School in 1998, 28 years ago. Accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
28
Trained at
Eastern Virginia Medical School
Licensed in
SC
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

559 Harrison Bridge Rd
Simpsonville, SC 29680-7004
Phone: (864) 272-0388
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 21147 (SC)

Record details

NPI number1164427043
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 16, 2005
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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