Active NPI
Bryan Andrew Roller, MD
- Anesthesiology Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 71833
- Practice address
- 2450 Riverside Ave
Minneapolis, MN 55454-1450 - Phone
- (612) 273-3000
- NPI assigned
- Apr 13, 2015
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 291896-1 | NY | |
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | 71833 | MN | |
| Anesthesiology Physician | 207L00000X | 71833 | MN | Primary |
Addresses
Primary practice location
2450 Riverside Ave
Minneapolis, MN 55454-1450
Mailing address
Department of Anesthesiology, B515 Mayo Memorial Build
420 Delaware Street SE
Minneapolis, MN 55455
Phone (612) 624-9990
Other practice location 1
Columbia University Medical Center - Dept of Anesthesia
622 West 168th Street
New York, NY 10038
Phone (509) 947-9017
Other practice location 2
Department of Anesthesiology, B515 Mayo Memorial Build
420 Delaware Street SE
Minneapolis, MN 55455
Phone (612) 624-9990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone (612) 273-7838
Hospital & facility affiliations
- M Health Fairview University of MN Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.44 of 100
- Quality
- 82.65
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 291896-1 | NY | MD | Anesthesiology Physician |
| 71833 | MN | MD | Critical Care Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Minnesota Health Clinics and Surgery Center Inc | Anesthesiology | Current | Accepting new patients |
| University Anesthesia Providers, LLC | Anesthesiology | Current | Accepting new patients |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| University of Minnesota Health Clinics and Surgery Center, Inc. | Current | Accepting new patients |
Locations
14500 99th Ave N
Ste 500
Maple Grove, MN 55369
Phone (763) 898-1400
909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273
45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000
Interoperability endpoints
- broller747954@fairview.direct-ci.com
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.
-
- Anesthesiology Physician
- Minneapolis, MN
- NPI 1699711143
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
- Clinic/Center
- Vadnais Heights, MN
- NPI 1639125503
-
- Clinic/Center
- Minneapolis, MN
- NPI 1053795187
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
-
- Internal Medicine Physician
- Saint Paul, MN
- NPI 1508191552
-
- Anesthesiology Physician
- Minneapolis, MN
- NPI 1003485004
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1316008212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670803200000",
"number": "1467848770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPARTMENT OF ANESTHESIOLOGY, B515 MAYO MEMORIAL BUILD",
"address_2": "420 DELAWARE STREET SE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55455",
"telephone_number": "612-624-9990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 RIVERSIDE AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554541450",
"telephone_number": "612-273-3000"
}
],
"practiceLocations": [
{
"address_1": "Columbia University Medical Center - Dept of Anesthesia",
"address_2": "622 West 168th Street",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "10038",
"country_code": "US",
"telephone_number": "509-947-9017",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Department of Anesthesiology, B515 Mayo Memorial Build",
"address_2": "420 Delaware Street SE",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "55455",
"country_code": "US",
"telephone_number": "612-624-9990",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROLLER",
"first_name": "BRYAN",
"middle_name": "ANDREW",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-13",
"last_updated": "2022-12-12",
"certification_date": "2022-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "291896-1",
"primary": false
},
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "MN",
"license": "71833",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MN",
"license": "71833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.