Active NPI
Benjamin Jason Rogoway, MD
- Surgical Critical Care Physician
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- MD60278948
- 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
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 |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
- Phoenix Indian Medical Center
- Banner Baywood Medical Center
- Banner Ironwood Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.9 of 100
- Promoting interoperability
- 94
- Improvement activities
- 40
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60278948 | WA | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current | Accepting new patients | |
| Arizona Advanced Surgery LLC | Surgery | Current | Accepting new patients |
| Legacy Clinics LLC | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients | |
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current | 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
- https://fhir4.healow.com/fhir/r4/IGJBCD
- 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.
-
- Surgery Physician
- Phoenix, AZ
- NPI 1346880838
-
- Public Health or Welfare Agency
- Phoenix, AZ
- NPI 1083643738
TX
-
- Clinic/Center
- Portland, OR
- NPI 1902827272
-
- Public Health or Welfare Agency
- Maricopa, AZ
- NPI 1538043443
-
- Rural Health Clinic/Center
- Sandy, OR
- NPI 1730472192
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1720011810
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1194758284
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1720011810
-
- General Acute Care Hospital
- Queen Creek, AZ
- NPI 1124341672
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.