Individual provider Active NPI

Richard H. Roe, M.D.

  • Ophthalmology Physician
  • Los Angeles, CA
National Provider Identifier
1043412489
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A95880 Issued in CA
Practice address
1245 Wilshire Blvd
380
Los Angeles, CA 90017-4810
Phone
(213) 483-8810
Fax
(213) 481-1503
NPI assigned
Jun 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A95880 CA Primary
Specialist 174400000X A95880 CA

Addresses

Primary practice location

1245 Wilshire Blvd
380
Los Angeles, CA 90017-4810

Mailing address

1245 Wilshire Blvd
380
Los Angeles, CA 90017-4810
Phone (213) 483-8810

Other practice location 1

9001 Wilshire Boulevard Ste 301
Beverly Hills, CA 90211-4810
Phone (310) 854-6201

Other practice location 2

3400 Lomita Boulevard Ste. 202
Torrance, CA 90505-4810
Phone (310) 891-1000

Other identifiers 1

IdentifierTypeStateIssuer
W3452OtherCAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080514000906 CA Practitioner - Ophthalmology 1153490222 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Jefferson Medical College of Thomas Jefferson University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Vitreous Associates Medical GroupGroup PAC ID 5799769584, 17 clinicians
Pacific Eye Institute a Medical Group IncGroup PAC ID 7911966122, 43 clinicians

Practice addresses (Care Compare)

1245 Wilshire Blvd
Suite 380
Los Angeles, CA 90017-4886
Phone (213) 483-8810

555 N 13TH Ave
Upland, CA 91786-4904
Phone (909) 982-8846

Hospital & facility affiliations

  • Pih Health Good Samaritan Hospital Hospital, Los Angeles, CA, CCN 050471

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
94
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.15 of 100Reported as group
Quality
76.08
Promoting interoperability
72
Improvement activities
40
Cost
75.13

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A95880CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Eye Institute, a Medical Group, Inc. Ophthalmology CurrentSince Jan 1, 2019 Accepting new patients
Retina-Vitreous Associates Medical Group PC Specialist CurrentSince Jun 1, 2008 Accepting new patients
County of Los Angeles CurrentSince Apr 14, 2012 Accepting new patients
County of Los Angeles CurrentSince Apr 14, 2012 Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
St Joseph Regional Health Network Ophthalmology Past Accepting new patients
St. Mary Medical Center Past Accepting new patients
Lasik Eyecare Medical Corporation Ophthalmology Past Accepting new patients
The Oncology Institute Ca, a Professional Corporation Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
White Memorial Medical Center Past Accepting new patients
Tobias Moeller-Bertram MD Corporation Past Accepting new patients
Good Samaritan Hospital Ca LTD PTP Past Accepting new patients
Dan K Sakamoto M D Medical Corp Ophthalmology Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients

Locations (25 of 26)

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

15099 Kamana Rd
Apple Valley, CA 92307

9001 Wilshire Blvd
Ste 301
Beverly Hills, CA 90211
Phone (310) 659-3337

8641 Wilshire Blvd
Ste 210
Beverly Hills, CA 90211
Phone (310) 854-6201

1900 E Washington St
Colton, CA 92324
Phone (909) 825-3425

1900 E Washington St
Ste 200
Colton, CA 92324

12442 Limonite Ave
Unit 200
Eastvale, CA 91752
Phone (951) 737-4000

1510 S Central Ave
Ste 230
Glendale, CA 91204
Phone (818) 548-1635

11959 Mariposa Rd
Hesperia, CA 92345
Phone (760) 956-1100

9834 Genesee Ave
Ste 200
La Jolla, CA 92037
Phone (858) 457-3050

1127 Wilshire Blvd
Ste 1620
Los Angeles, CA 90017
Phone (213) 423-7200

1245 Wilshire Blvd
Ste 380
Los Angeles, CA 90017
Phone (213) 483-8810

1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741

File 51006
Los Angeles, CA 90074

12840 Riverside Dr
Ste 333
North Hollywood, CA 91607
Phone (818) 754-2090

9481 Haven Ave
Ste 200
Rancho Cucamonga, CA 91730
Phone (909) 937-9230

8112 Milliken Ave
Ste 203
Rancho Cucamonga, CA 91730
Phone (909) 945-3563

12840 Riverside Dr
Ste 402
Studio City, CA 91607
Phone (323) 661-7661

5525 Etiwanda Ave
Ste 112
Tarzana, CA 91356
Phone (818) 578-7408

41877 Enterprise Cir N
Ste 110
Temecula, CA 92590
Phone (951) 296-2244

3400 Lomita Blvd
Ste 202
Torrance, CA 90505
Phone (310) 539-7474

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

3440 Lomita Blvd
Ste 327
Torrance, CA 90505
Phone (310) 891-1000

591 N 13th Ave
Upland, CA 91786
Phone (909) 946-5320

555 N 13th Ave
Upland, CA 91786
Phone (909) 982-8846

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 17

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1043412489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD",
            "address_2": "380",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174810",
            "telephone_number": "213-483-8810",
            "fax_number": "213-481-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD",
            "address_2": "380",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174810",
            "telephone_number": "213-483-8810",
            "fax_number": "213-481-1503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9001 Wilshire Boulevard Ste 301",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902114810",
            "country_code": "US",
            "telephone_number": "310-854-6201",
            "fax_number": "213-975-9118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 Lomita Boulevard Ste. 202",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905054810",
            "country_code": "US",
            "telephone_number": "310-891-1000",
            "fax_number": "213-975-9118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROE",
        "first_name": "RICHARD",
        "middle_name": "H.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2023-03-07",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A95880",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A95880",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W3452",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.