Active NPI
Jason Andrew Rolls, M.D.
- Surgery Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4301099790
- Practice address
- 4160 John R St
Suite 615
Detroit, MI 48201-2020 - Phone
- (313) 745-4195
- Fax
- (313) 993-8669
- NPI assigned
- May 16, 2008
- Last updated
- Jun 9, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transplant Surgery Physician | 204F00000X | 4301099790 | MI | |
| Surgery Physician | 208600000X | 4301099790 | MI | Primary |
Addresses
Primary practice location
4160 John R St
Suite 615
Detroit, MI 48201-2020
Mailing address
4160 John R St
Suite 615
Detroit, MI 48201-2020
Phone (313) 745-4195
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245497478 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Columbia University College of Physicians and Surgeons, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4735 Ogletown Stanton Rd
Suite 2224
Newark, DE 19713-8000
Phone (302) 623-3866
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services Inc | Transplant Surgery | Current | Accepting new patients |
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Transplant Surgery | Past | Accepting new patients |
Locations
4735 Ogletown Stanton Rd
Ste 2224
Newark, DE 19713
Phone (302) 266-0355
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CCHS Pmri
- Endocrinology, Diabetes & Metabolism Physician
- Wilmington, DE
- NPI 1770568107
-
dba CCHS Renal Services
- Surgery Physician
- Newark, DE
- NPI 1144234873
Transplant Surgery
-
dba CCHS Concord - Neurology
- Neurology Physician
- Chadds Ford, PA
- NPI 1881228484
-
dba Center for Liver Disease and Transplantation
- Transplant Surgery Physician
- New York, NY
- NPI 1790739217
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Christiana Care Visiting Nurse Association
- Home Health Agency
- Wilmington, DE
- NPI 1437152154
-
dba Christiana Care
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
-
dba Christiana Care Visiting Nurse Association
- Home Health Agency
- Smyrna, DE
- NPI 1841293438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496966400000",
"number": "1245497478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4160 JOHN R ST",
"address_2": "SUITE 615",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012020",
"telephone_number": "313-745-4195",
"fax_number": "313-993-8669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4160 JOHN R ST",
"address_2": "SUITE 615",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012020",
"telephone_number": "313-745-4195",
"fax_number": "313-993-8669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLLS",
"first_name": "JASON",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-16",
"last_updated": "2017-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "204F00000X",
"taxonomy_group": "",
"desc": "Transplant Surgery",
"state": "MI",
"license": "4301099790",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301099790",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1245497478",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.