Individual provider Active NPI

Jeffrey Philip Roger, M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Reno, NV
National Provider Identifier
1376574160
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
MD00044507 Issued in WA
Practice address
745 W Moana LN Ste 300
Reno, NV 89509-4980
Phone
(970) 640-7000
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 20736 NV
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X MD00044507 WA
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X MD00044507 WA Primary

Addresses

Primary practice location

745 W Moana LN Ste 300
Reno, NV 89509-4980

Mailing address

745 W Moana LN Ste 300
Reno, NV 89509-4980
Phone (970) 640-7000

Other practice location 1

747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-6000

Other identifiers 2

IdentifierTypeStateIssuer
1091581MedicaidWA
8420648MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AK, 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
I20050210000984 WA Practitioner - Emergency MedicinePractitioner - Hospice/Palliative Care 4082666755 Reassigns benefits to 2 organizations
I20201116002253 AK Practitioner - Emergency Medicine 4082666755 Reassigns benefits to 1 organization
I20241011000622 TX Practitioner - Emergency Medicine 4082666755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.1 of 100Reported as group
Quality
84.53
Promoting interoperability
100
Improvement activities
40
Cost
72.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20736NVMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastside Emergency Physicians, PLLC CurrentSince Sep 1, 2007 Accepting new patients
Eastside Emergency Physicians PLLC CurrentSince Sep 1, 2007 Accepting new patients
Nes Washington, Inc. CurrentSince Sep 30, 2020 Accepting new patients
Arctic Slope Native Association LTD Current Accepting new patients
Swedish Health Services CurrentSince Aug 21, 2022 Accepting new patients
Colorado West Emergency Physicians, LLC Past Accepting new patients
Brookdale Hospital Medical Center Emergency Medical Services Past Accepting new patients
Swedish Health Services Past Accepting new patients

Locations

3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-4104

21616 76th Ave W
Ste 113
Edmonds, WA 98026
Phone (425) 640-4636

7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

2005 NW Sammamish Rd
Issaquah, WA 98027
Phone (425) 394-0610

18100 NE Union Hill Rd
Redmond, WA 98052
Phone (425) 498-2020

1221 Madison St
Ste 200
Seattle, WA 98104
Phone (206) 386-2126

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

Interoperability endpoints

  • Direct secure messaging: jroger1043082@wm.providencedirect.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1376574160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 W MOANA LN STE 300",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094980",
            "telephone_number": "970-640-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 W MOANA LN STE 300",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094980",
            "telephone_number": "970-640-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "747 Broadway",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981224379",
            "country_code": "US",
            "telephone_number": "206-386-6000",
            "fax_number": "206-386-2625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGER",
        "first_name": "JEFFREY",
        "middle_name": "PHILIP",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NV",
            "license": "20736",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "WA",
            "license": "MD00044507",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "WA",
            "license": "MD00044507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1091581",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8420648",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.