Individual provider Active NPI

Cesar M Roca Jr., MD

  • Orthopaedic Surgery Physician
  • Daphne, AL
National Provider Identifier
1275533549
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
24792 Issued in AL
Practice address
1505 Daphne Ave
Daphne, AL 36526-4298
Phone
(251) 625-2663
Fax
(251) 625-3198
NPI assigned
Jul 28, 2005
Last updated
Dec 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 24792 AL Primary

Addresses

Primary practice location

1505 Daphne Ave
Daphne, AL 36526-4298

Mailing address

1505 Daphne Ave
Daphne, AL 36526-4298
Phone (251) 625-2663

Other identifiers 2

IdentifierTypeStateIssuer
200045505OtherRAILROAD MEDICARE
051552737MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20040107000788 AL Practitioner - Orthopedic Surgery 8022917194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Tulane University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baldwin Bone and Joint P CGroup PAC ID 0446213409, 32 clinicians

Practice addresses (Care Compare)

1505 Daphne Ave
Daphne, AL 36526-4298
Phone (251) 625-2663

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)11
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24792ALMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baldwin Bone & Joint P C Orthopaedic Surgery CurrentSince Feb 1, 2025 Accepting new patients
Baldwin Bone & Joint P C Orthopaedic Surgery PastSince Feb 1, 2025 Accepting new patients
Coastal Anesthesia, P.C. Past Accepting new patients

Locations

1505 Daphne Ave
Daphne, AL 36526
Phone (251) 625-2663

10701 Eastern Shore Blvd
Spanish Fort, AL 36527
Phone (251) 625-2663

Interoperability endpoints

  • Direct secure messaging: croca@alortho.gwaydirect.com
  • Direct secure messaging: croca@bbj1037.srs-direct.com

Organizations & group practices 3

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.

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1275533549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 DAPHNE AVE",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264298",
            "telephone_number": "251-625-2663",
            "fax_number": "251-625-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 DAPHNE AVE",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264298",
            "telephone_number": "251-625-2663",
            "fax_number": "251-625-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCA",
        "first_name": "CESAR",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "24792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200045505",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051552737",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

Verify at the official NPI Registry.