Individual provider Active NPI

Benjamin Jason Rogoway, MD

  • Surgical Critical Care Physician
  • Vancouver, WA
National Provider Identifier
1336363290
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
MD60278948 Issued in WA
Practice address
505 NE 87TH Ave
Building B, Suite 301
Vancouver, WA 98664-1989
Phone
(360) 514-1854
NPI assigned
Apr 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X MD60278948 WA Primary
Surgery Physician 208600000X MD60278948 WA

Addresses

Primary practice location

505 NE 87TH Ave
Building B, Suite 301
Vancouver, WA 98664-1989

Mailing address

505 NE 87TH Ave
Building B, Suite 301
Vancouver, WA 98664-1989
Phone (360) 514-1854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, AZ, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200224000030 OR Practitioner - General Surgery 4981851151 Reassigns benefits to 1 organization
I20210119002059 AZ Practitioner - General Surgery 4981851151 Reassigns benefits to 1 organization
I20250528003741 TX Practitioner - General Surgery 4981851151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of California, Irvine, California College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Advanced Surgery LLCGroup PAC ID 0547690166, 93 clinicians
Dhew Ind HLTH SV HLTH SVS and MNTL HLTH AdmGroup PAC ID 1759290901, 219 clinicians

Practice addresses (Care Compare)

2320 N 3Rd St
Phoenix, AZ 85004-1303
Phone (602) 340-0201

4212 N 16TH St
Phoenix, AZ 85016-5319
Phone (602) 263-1200

Hospital & facility affiliations

  • Banner Desert Medical Center Hospital, Mesa, AZ, CCN 030065
  • Phoenix Indian Medical Center Hospital, Phoenix, AZ, CCN 030078
  • Banner Baywood Medical Center Hospital, Mesa, AZ, CCN 030088
  • Banner Ironwood Medical Center Hospital, Queen Creek, AZ, CCN 030130

Merit-based Incentive Payment System (MIPS)

Final score
94.9 of 100Reported as group
Promoting interoperability
94
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60278948WAMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Mar 9, 2025 Accepting new patients
Arizona Advanced Surgery LLC Surgery CurrentSince Jan 1, 2021 Accepting new patients
Legacy Clinics LLC CurrentSince Feb 3, 2020 Accepting new patients
Legacy Clinics LLC CurrentSince Feb 3, 2020 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Mar 9, 2025 Accepting new patients
Banner Desert Medical Center Past Accepting new patients

Locations

1450 S Dobson Rd
Ste A200
Mesa, AZ 85202
Phone (480) 629-5167

2945 S Dobson Rd
Mesa, AZ 85202
Phone (480) 699-2508

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

2945 S Dobson Rd
#2320N
Mesa, AZ 85202

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

2320 N 3rd St
Phoenix, AZ 85004
Phone (602) 258-3262

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

300 N Graham St
Ste 125
Portland, OR 97227
Phone (503) 413-3714

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGJBCD
  • Direct secure messaging: brogoway51075@direct.peacehealth.org

Organizations & group practices 6

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 3

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365465600000",
    "number": "1336363290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 NE 87TH AVE",
            "address_2": "BUILDING B, SUITE 301",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986641989",
            "telephone_number": "360-514-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 NE 87TH AVE",
            "address_2": "BUILDING B, SUITE 301",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986641989",
            "telephone_number": "360-514-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGOWAY",
        "first_name": "BENJAMIN",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2013-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "WA",
            "license": "MD60278948",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD60278948",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.