Active NPI
Jeffrey Philip Roger, M.D.
- Emergency Medical Services (Emergency Medicine) Physician
- Reno, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- MD00044507
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1091581 | Medicaid | WA | |
| 8420648 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, AK, 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.1 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 20736 | NV | MD | Hospice and Palliative Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastside Emergency Physicians, PLLC | Current | Accepting new patients | |
| Eastside Emergency Physicians PLLC | Current | Accepting new patients | |
| Nes Washington, Inc. | Current | Accepting new patients | |
| Arctic Slope Native Association LTD | Current | Accepting new patients | |
| Swedish Health Services | Current | 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
- 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.
-
- Critical Access Hospital
- Barrow, AK
- NPI 1306933643
-
- Emergency Medicine Physician
- Issaquah, WA
- NPI 1689683229
-
- Emergency Medicine Physician
- Ketchikan, AK
- NPI 1215239595
-
- Internal Medicine Physician
- Seattle, WA
- NPI 1689612954
-
- Emergency Medicine Physician
- Everett, WA
- NPI 1922303478
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1962451195
Emergency Medical Services
-
- Emergency Medicine Physician
- Grand Junction, CO
- NPI 1780626069
-
- Surgery Physician
- Seattle, WA
- NPI 1053368571
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.