Individual provider Active NPI

Jeffrey Seung Roh, MD

  • Orthopaedic Surgery Physician
  • Seattle, WA
National Provider Identifier
1346284486
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD00045155 Issued in WA
Practice address
550 17TH Ave FL 5
Seattle, WA 98122
Phone
(206) 386-3880
Fax
(206) 386-3882
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X MD00045155 WA
Orthopaedic Surgery Physician 207X00000X MD00045155 WA Primary

Addresses

Primary practice location

550 17TH Ave FL 5
Seattle, WA 98122

Mailing address

550 17TH Ave Ste 500
Seattle, WA 98122-5789
Phone (206) 320-2800

Other identifiers 1

IdentifierTypeStateIssuer
1346284486MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jroh951812@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, HI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20050804000892 WA Practitioner - Orthopedic Surgery 0042249526 Reassigns benefits to 1 organization
I20230707003191 HI Practitioner - Orthopedic Surgery 0042249526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Medical College of Wisconsin, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Excel Spine and Orthopedic Institute LLCGroup PAC ID 4880064252, 9 clinicians

Practice addresses (Care Compare)

500 Ala Moana Blvd
Suite 4 445
Honolulu, HI 96813-4906
Phone (808) 358-6200

Hospital & facility affiliations

  • North Hawaii Community Hospital, Inc Hospital, Kamuela, HI, CCN 120028
  • The Queens Medical Center Hospital, Honolulu, HI, CCN 120001
  • Adventist Health Castle Hospital, Kailua, HI, CCN 120006
  • Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026
  • Straub Clinic and Hospital Hospital, Honolulu, HI, CCN 120022

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion119
Laminectomy or laminotomy (partial removal of spine bones)90

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Proliance Surgeons Inc P S Orthopaedic Surgery CurrentSince Jan 1, 2013 Accepting new patients
Proliance Surgeons Inc P S Orthopaedic Surgery CurrentSince Jan 1, 2013 Accepting new patients
Proliance Surgeons Inc P S Orthopaedic Surgery Current Accepting new patients
Excel Spine & Orthopedic Institute LLC Orthopaedic Surgery CurrentSince Jul 1, 2023 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Orthopedics International LTD. PS Orthopaedic Surgery Past Accepting new patients

Locations

500 Ala Moana Blvd
Bldg 1
Honolulu, HI 96813
Phone (775) 237-3524

500 Ala Moana Blvd
Ste 4445
Honolulu, HI 96813
Phone (808) 358-6200

200 Kalepa Pl
Ste 203
Kahului, HI 96732
Phone (808) 358-6200

64-5188 Kinohou St
Kamuela, HI 96743
Phone (808) 887-0600

12333 NE 130th Ln
Ste 400
Kirkland, WA 98034
Phone (425) 216-4220

12911 120th Ave NE
Ste H210
Kirkland, WA 98034
Phone (425) 823-4000

12911 120th Ave NE
Ste H120
Kirkland, WA 98034
Phone (425) 823-4226

12911 120th Ave NE
Ste G10
Kirkland, WA 98034
Phone (425) 481-6301

550 17th Ave
Ste 500
Seattle, WA 98122
Phone (206) 320-2451

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100

Interoperability endpoints

  • Direct secure messaging: jeffrey.roh@525248468418564.direct.elationemr.com

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 5

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1346284486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 17TH AVE STE 500",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225789",
            "telephone_number": "206-320-2800",
            "fax_number": "206-320-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 17TH AVE FL 5",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98122",
            "telephone_number": "206-386-3880",
            "fax_number": "206-386-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROH",
        "first_name": "JEFFREY",
        "middle_name": "SEUNG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "WA",
            "license": "MD00045155",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WA",
            "license": "MD00045155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346284486",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jroh951812@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "550 17th Ave Fl 5",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "98122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.