Individual provider Active NPI

Carol Rogala, D.O.

  • Emergency Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1255358974
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
008125 Issued in AZ
Practice address
1209 S 1St Ave
Phoenix, AZ 85003-2692
Phone
(602) 258-6797
Fax
(602) 248-8113
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 20A8408 CA
Emergency Medicine Physician 207P00000X 008125 AZ Primary

Addresses

Primary practice location

1209 S 1St Ave
Phoenix, AZ 85003-2692

Mailing address

3877 N 7TH St Ste 400
Phoenix, AZ 85014-5061
Phone (602) 258-6797

Other practice location 1

334 W 10th Pl Ste 100
Mesa, AZ 85201-3499
Phone (602) 258-6797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20051109001164 AZ Practitioner - Emergency Medicine 9234186099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Chicago College of Osteopathy, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valle del Sol IncGroup PAC ID 8628019148, shared by 10 NPIs, 25 clinicians

Practice addresses (Care Compare)

1209 S 1St Ave
Phoenix, AZ 85003-2605
Phone (602) 258-6797

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
008125AZMDEmergency Medicine Physician
20A8408CAMDEmergency Medicine Physician
2909AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Valle del Sol, Inc. CurrentSince Jun 16, 2024 Accepting new patients
Valle del Sol, Inc. Current Accepting new patients
Valle del Sol, Inc. CurrentSince Jun 16, 2024 Accepting new patients
Chase Dennis Emergency Medical Group Inc Emergency Medicine Past Accepting new patients
Alpine Emergency Physicians Medical Group, Inc Emergency Medicine Past Accepting new patients
Quantum Healthcare Medical Associates Inc. Past Accepting new patients
Hemet Emergency Med Group @ Menifee Hospital Emergency Medicine Past Accepting new patients
Community Bridges, Inc. PastSince Jul 17, 2022 Accepting new patients
Hemet Emergency Medical Group Emergency Medicine Past Accepting new patients
Emergency Room Associates Limited Emergency Medicine Past Accepting new patients
Community Bridges, Inc. PastSince Jun 21, 2022 Accepting new patients
Community Medical Services Arizona-Private, LLC Past Accepting new patients
Community Medical Services Arizona-Private, LLC PastSince Feb 1, 2021 Accepting new patients

Locations

334 W 10th Pl
Ste 100
Mesa, AZ 85201
Phone (480) 834-0771

3807 N 7th St
Phoenix, AZ 85014

3877 N 7th St
Ste 400
Phoenix, AZ 85014
Phone (602) 257-8118

1209 S 1st Ave
Phoenix, AZ 85003
Phone (602) 282-8006

Organizations & group practices 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1255358974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3877 N 7TH ST STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145061",
            "telephone_number": "602-258-6797",
            "fax_number": "602-248-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 S 1ST AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850032692",
            "telephone_number": "602-258-6797",
            "fax_number": "602-248-8113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "334 W 10th Pl Ste 100",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852013499",
            "country_code": "US",
            "telephone_number": "602-258-6797",
            "fax_number": "602-254-2636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGALA",
        "first_name": "CAROL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "20A8408",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "008125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.