Individual provider Active NPI

Jill Marie Roehr, M.D.

  • Surgery Physician
  • Largo, FL
National Provider Identifier
1104894567
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME83272 Issued in FL
Practice address
1258 W Bay Dr
Largo, FL 33770-2242
Phone
(727) 586-3751
Fax
(727) 587-9340
NPI assigned
Mar 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME83272 FL Primary

Addresses

Primary practice location

1258 W Bay Dr
Largo, FL 33770-2242

Mailing address

3131 N McMullen Booth Rd
Clearwater, FL 33761-2008
Phone (727) 726-8871

Other identifiers 5

IdentifierTypeStateIssuer
0046994OtherFLCIGNA
2275420OtherFLUNITED
265755400MedicaidFL
5740708OtherFLAETNA
62735OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100914000286 FL Practitioner - General Surgery 9032234174 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Eastern Virginia Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nautilus Health Care Group LLCGroup PAC ID 5991604852, 51 clinicians

Practice addresses (Care Compare)

3001 W Dr Martin Luther King Jr Blvd
FL 2
Tampa, FL 33607-6307
Phone (855) 689-5105

Hospital & facility affiliations

  • Baycare Home Care Inc Home health agency, Tampa, FL, CCN 107285
  • Trilogy Home Healthcare Home health agency, Clearwater, FL, CCN 103175
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • Mease Countryside Hospital Hospital, Safety Harbor, FL, CCN 100265
  • Mease Dunedin Hospital Hospital, Dunedin, FL, CCN 100043
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127

Merit-based Incentive Payment System (MIPS)

Final score
82.43 of 100Reported as group
Quality
66.74
Promoting interoperability
87
Improvement activities
40
Cost
68.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Removal of tissue213
Removal of skin lesions18
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nautilus Health Care Group LLC Surgery CurrentSince Oct 1, 2024 Accepting new patients
Tampa Bay Surgical Group, LLP Surgery CurrentSince Sep 1, 2024 Accepting new patients
Nautilus Health Care Group, LLC CurrentSince Oct 1, 2024 Accepting new patients
Advanced Wound Systems LLC Past Accepting new patients

Locations

151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515

2039 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 584-7666

2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474

1258 West Bay Dr
Ste D
Largo, FL 33770
Phone (727) 420-6374

1258 West Bay Dr
Largo, FL 33770
Phone (727) 586-3751

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

3890 Tampa Rd
Ste 201
Palm Harbor, FL 34684
Phone (727) 723-1220

3001 W Mlk Blvd
#2
Tampa, FL 33607

3001 W Mlk Blvd
Fl 2
Tampa, FL 33607

2901 W Busch Blvd
Ste 707
Tampa, FL 33618
Phone (813) 254-3016

3001 W Dr Martin Luther King Jr Blvd
Ste 2
Tampa, FL 33607

1120 Pinellas Bayway S
Ste 200
Tierra Verde, FL 33715
Phone (727) 867-5480

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jillroehr@tbsg.allscriptsdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1104894567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 N MCMULLEN BOOTH RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612008",
            "telephone_number": "727-726-8871",
            "fax_number": "727-726-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1258 W BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702242",
            "telephone_number": "727-586-3751",
            "fax_number": "727-587-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEHR",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME83272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0046994",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "2275420",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265755400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5740708",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "62735",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.