Mallory Roushar, PA
NPI 1912791385 · Physician Assistant · Chicago, IL
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mallory Roushar, PA is a Physician Assistant provider in Chicago, IL (NPI 1912791385).
Provider details
- NPI number
- 1912791385
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 085011468 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1972 Cherrydale AveBaton Rouge, LA 70808-2815Phone: (517) 883-1008
Registry dates
- Enumerated
- 2025-04-08
- Last updated
- 2025-09-11
- Certified
- 2025-09-11
Frequently asked questions
- What is Mallory Roushar's NPI number?
- Mallory Roushar's National Provider Identifier (NPI) is 1912791385, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mallory Roushar's specialty?
- Mallory Roushar is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mallory Roushar located?
- Mallory Roushar's practice location on file with NPPES is 5841 S Maryland Ave, Chicago, IL 60637-1443.
- What is Mallory Roushar's phone number?
- The practice phone number listed in the NPPES registry for Mallory Roushar is (888) 824-0200.
- Does Mallory Roushar accept Medicare?
- Mallory Roushar is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mallory Roushar's NPI active?
- Yes — Mallory Roushar's NPI (1912791385) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.