Individual provider Active NPI

Nicholas Matthew Roalofs

  • Physician Assistant
  • Palm Desert, CA
National Provider Identifier
1518735166
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA68045 Issued in CA
Practice address
44311 Monterey Ave
Palm Desert, CA 92260-2710
Phone
(760) 773-6616
Fax
(760) 773-6618
NPI assigned
Dec 13, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA68045 CA Primary

Addresses

Primary practice location

44311 Monterey Ave
Palm Desert, CA 92260-2710

Mailing address

44311 Monterey Ave
Palm Desert, CA 92260-2710
Phone (760) 773-6616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250609003233 AZ Practitioner - Physician Assistant 8224548219 Reassigns benefits to 2 organizations
I20260616000771 CA Practitioner - Physician Assistant 8224548219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Digestive Health PCGroup PAC ID 6507940731, 134 clinicians

Practice addresses (Care Compare)

13802 W Meeker Blvd
Sun City West, AZ 85375-4422
Phone (623) 547-2600

14044 W Camelback Rd
Suite 118
Litchfield Park, AZ 85340-9481
Phone (623) 547-2600

19636 N 27TH Ave
Suite 202
Phoenix, AZ 85027-4018
Phone (623) 547-2600

5823 W Eugie Ave
Suite a
Glendale, AZ 85304-1277
Phone (602) 843-1265

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
11051AZMDOrthopedic Physical Therapist
PA68045CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Digestive Health, PC CurrentSince Aug 1, 2025 Accepting new patients
Palo Verde Hematology Oncology LTD. CurrentSince May 6, 2025 Accepting new patients

Locations

5823 W Eugie Ave
Ste A
Glendale, AZ 85304
Phone (602) 439-1717

6320 W Union Hills Dr
Ste 2600B
Glendale, AZ 85308
Phone (602) 942-5600

14044 W Camelback Rd
Ste 118
Litchfield Pk, AZ 85340
Phone (623) 584-4882

26900 N Lake Pleasant Pkwy
Ste 201
Peoria, AZ 85383

13760 N 93rd Ave
Ste 101
Peoria, AZ 85381
Phone (623) 876-3800

9250 W Thomas Rd
Ste 150
Phoenix, AZ 85037
Phone (623) 478-8091

9425 W Bell Rd
Ste 200
Sun City, AZ 85351

13802 W Meeker Blvd
Sun City West, AZ 85375
Phone 6233029300412

Organizations & group practices 3

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": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1518735166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44311 MONTEREY AVE",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602710",
            "telephone_number": "760-773-6616",
            "fax_number": "760-773-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44311 MONTEREY AVE",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602710",
            "telephone_number": "760-773-6616",
            "fax_number": "760-773-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROALOFS",
        "first_name": "NICHOLAS",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-13",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA68045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.