Active NPI
Michael Warren Roper, PA-C
- Physician Assistant
- Mechanicsville, VA
National Provider Identifier
1457986903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA16266
- Practice address
- 8260 Atlee Rd
Mechanicsville, VA 23116-1844 - Phone
- (804) 764-6000
- NPI assigned
- Mar 5, 2020
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0110007084 | VA | |
| Physician Assistant | 363A00000X | PA16266 | TX | Primary |
Addresses
Primary practice location
8260 Atlee Rd
Mechanicsville, VA 23116-1844
Mailing address
12420 Milestone Center Dr Ste 200
Germantown, MD 20876-7111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1501 S Potomac St
Medical Center of Aurora
Aurora, CO 80012-5411
Phone (303) 695-2600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA16266 | TX | MD | Physician Assistant |
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Denver, CO
- NPI 1134590318
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1649669672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677628800000",
"number": "1457986903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12420 MILESTONE CENTER DR STE 200",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208767111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8260 ATLEE RD",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231161844",
"telephone_number": "804-764-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROPER",
"first_name": "MICHAEL",
"middle_name": "WARREN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-05",
"last_updated": "2023-03-01",
"certification_date": "2023-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0110007084",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA16266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mechanicsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.