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

Dr. Tony Nedumkandathil Roshan, DO

Individual provider Family Medicine Physician · NPI 1770165540

Dr. Tony Nedumkandathil Roshan, DO is a Family Practice in Houston, Texas. Qualified in 2024, 2 years ago. Practices with UT Physicians Specialty Services, a 83-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2021
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

6410 Fannin St Ste 230
Houston, TX 77030-3002
Phone: (832) 325-6500
Fax: (713) 512-2236
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence V1879 (TX)

Record details

NPI number1770165540
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 22, 2021
Last updated in NPPESSeptember 19, 2024
Certification dateSeptember 19, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Ut Physicians Specialty Services — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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