Active NPI
Michael Roll, M.D.
- Anesthesiology Physician
- Springfield, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD198318
- Practice address
- 3333 Riverbend Dr
Springfield, OR 97477-8800 - Phone
- (541) 222-3154
- NPI assigned
- Apr 24, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD198318 | OR | Primary |
Addresses
Primary practice location
3333 Riverbend Dr
Springfield, OR 97477-8800
Mailing address
3333 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-3154
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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)
3333 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-2300
Hospital & facility affiliations
- Sacred Heart Medical Center - Riverbend
- Peace Harbor Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD198318 | OR | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Virginia Mason Medical Center | Anesthesiology | Current | Accepting new patients |
| Northwest Anesthesia Physicians PC | Anesthesiology | Current | Accepting new patients |
| Virginia Mason Medical Center | Current | Accepting new patients |
Locations
1460 G St
Springfield, OR 97477
Phone (541) 431-0665
3333 Riverbend Dr
Springfield, OR 97477
Phone (541) 222-3154
925 Seneca St
#H8
Seattle, WA 98101
Phone (206) 515-5811
1100 9th Ave
Seattle, WA 98101
Phone (206) 223-6980
Organizations & group practices 4
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
- Springfield, OR
- NPI 1770531196
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1801851258
-
- Anesthesiology Physician
- Seattle, WA
- NPI 1376607234
-
- Interventional Cardiology Physician
- Tacoma, WA
- NPI 1821711953
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springfield, OR
- NPI 1083888515
-
- Psychiatric Hospital Unit
- Eugene, OR
- NPI 1568236974
-
- Critical Access Hospital
- Florence, OR
- NPI 1578552402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596585600000",
"number": "1679960835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 RIVERBEND DR",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974778800",
"telephone_number": "541-222-3154",
"fax_number": "541-222-3359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 RIVERBEND DR",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974778800",
"telephone_number": "541-222-3154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLL",
"first_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-24",
"last_updated": "2020-08-05",
"certification_date": "2020-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OR",
"license": "MD198318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.