SUSAN G ROUX (M.D.) – Diagnostic Radiology Physician, NPI 1154330702

SUSAN G ROUX (M.D.) is a healthcare provider. based in Newport beach, California. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. G60193 (CA). The NPI Number for SUSAN G ROUX (M.D.) is 1154330702

Main info

Female
47 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN G ROUX (M.D.)
NPI
1154330702
Phone
(949) 263-8620
Address
ONE HOAG DRIVE
Enumeration Date
5 August 2006
Last Update Date
12 December 2007

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
8316245311
Graduation Year
1979 (47 years ago)
PAC ID
5294798377
Group Practice PAC ID
7214839125
Professional Enrollment ID
I20041110000559
Address ID
CA939405902MO23625HWYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,800 DIAGNOSTIC RADIOLOGY in CA

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Provider Addresses for SUSAN G ROUX (M.D.)

  • Hoag Drive, Newport Heights, Newport Beach, Orange County, California, 92658, United States

    NEWPORT BEACH, CA 926634162

    Phone: (949) 263-8620

    Fax: (949) 263-1639

    Type: Location

  • Calle Pasadena, Asociación California, Sector 12, Villa El Salvador, Province of Lima, Lima Metropolitan Area, Lima, 15829, Peru

    PASADENA, CA 911851555

    Phone: (949) 263-8620

    Fax: (949) 263-1639

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $123.

Total Amount is formed as General ($123) + Research ($0) + Ownership ($0) = $123.

Last reported payment date: 2023-06-20 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($123).

Total Amount

$123

General + Research + Ownership

Payments

1

Total payment records

General Amount

$123

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-11-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041110000559IDiagnostic RadiologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
77067Screening mammography2,4242,424$0
77063Screening 3d breast mammography2,4042,404$0
77080Dxa bone density measurement of hip, pelvis, spine1,5531,550$0
76641Complete ultrasound scan of 1 breast872859$0
77066Diagnostic mammography of both breasts217216$0
View full utilization report →

Insurance plans in this area (ZIP 92663)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214839125View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)CA
N E U R O L O G YCA
Marriage And Family TherapistCA
Nurse PractitionerCA
Emergency MedicineNM
Nurse PractitionerCA
P A T H O L O G YCA
Nurse PractitionerCA
-CA
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineCA

Reviews

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Frequently asked questions

How is SUSAN G ROUX (M.D.) identified in CMS data?
CMS-hosted NPPES data lists SUSAN G ROUX (M.D.) with NPI 1154330702.
Is SUSAN G ROUX (M.D.) listed as active for patients and plans?
The listing shows SUSAN G ROUX (M.D.) as active in the NPI system.
What is SUSAN G ROUX (M.D.)'s specialty?
The listing groups SUSAN G ROUX (M.D.) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for SUSAN G ROUX (M.D.)?
SUSAN G ROUX (M.D.)'s geographic hint is Newport Beach, California in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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