Active NPI
Fernando Jose Roca Vall-Llobera, M.D.
- Obstetrics & Gynecology Physician
- Somerville, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 257959
- Practice address
- 40 Holland St
Somerville, MA 02144-2705 - Phone
- (617) 629-6330
- NPI assigned
- Apr 11, 2008
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 17590 | PR | |
| Obstetrics & Gynecology Physician | 207V00000X | ME137748 | FL | |
| Obstetrics & Gynecology Physician | 207V00000X | 257959 | MA | Primary |
Addresses
Primary practice location
40 Holland St
Somerville, MA 02144-2705
Mailing address
40 Holland St
Somerville, MA 02144-2705
Phone (617) 629-6330
Other practice location 1
26 City Hall Mall
Medford, MA 02155-4754
Phone (781) 306-5304
Other names 1
- Fernando Jose Roca
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- 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
- Obstetrics/Gynecology
- Education
- University of Puerto Rico School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
40 Holland St
Somerville, MA 02144-2705
Phone (617) 629-6000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17590 | PR | MD | General Practice Registered Nurse |
| ME137748 | FL | MD | Obstetrics & Gynecology Physician |
| 257959 | MA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atrius Health, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| Atrius Health, Inc. | Current | Accepting new patients | |
| Atrius Health, Inc. | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
147 Milk St
Boston, MA 02109
Phone (617) 421-2508
133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000
26 City Hall Mall
Medford, MA 02155
Phone (781) 306-5100
40 Holland St
Somerville, MA 02144
Phone (617) 629-6000
Interoperability endpoints
- frocamd183685@direct.atrius.masshiway.net
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.
-
- Internal Medicine Physician
- Needham, MA
- NPI 1053862045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679875200000",
"number": "1669645453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 HOLLAND ST",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021442705",
"telephone_number": "617-629-6330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 HOLLAND ST",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021442705",
"telephone_number": "617-629-6330"
}
],
"practiceLocations": [
{
"address_1": "26 City Hall Mall",
"address_purpose": "LOCATION",
"city": "Medford",
"state": "MA",
"postal_code": "021554754",
"country_code": "US",
"telephone_number": "781-306-5304",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROCA VALL-LLOBERA",
"first_name": "FERNANDO",
"middle_name": "JOSE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-11",
"last_updated": "2023-03-27",
"certification_date": "2023-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PR",
"license": "17590",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME137748",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MA",
"license": "257959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "FERNANDO",
"last_name": "ROCA",
"middle_name": "JOSE",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Somerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.