Individual provider Active NPI

Aaron Brock Roller, M.D.

  • Ophthalmology Physician
  • Austin, TX
National Provider Identifier
1700085248
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
P2061 Issued in TX
Practice address
801 W 38TH St Ste 200
Austin, TX 78705-1169
Phone
(512) 451-0103
Fax
(512) 451-2741
NPI assigned
Jul 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X R-7994 IA
Ophthalmology Physician 207W00000X 38879 IA
Retina Specialist (Ophthalmology) Physician 207WX0107X P2061 TX
Ophthalmology Physician 207W00000X P2061 TX Primary

Addresses

Primary practice location

801 W 38TH St Ste 200
Austin, TX 78705-1169

Mailing address

1512 W 35TH St Ste 200
Austin, TX 78703-1437
Phone (512) 451-0103

Other practice location 1

4010 Sandy Brook Dr
Suite 105
Round Rock, TX 78665-1516
Phone (512) 651-2201

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aroller@txretina.intellechartdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120809000915 TX Practitioner - Ophthalmology 2769516772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Rochester School of Medicine and Dentistry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Retina Associates PLLCGroup PAC ID 2163497801, 18 clinicians

Practice addresses (Care Compare)

801 W 38TH St
Suite 200
Austin, TX 78705-1169
Phone (512) 451-0103

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R-7994IAMDOphthalmology Physician
P2061TXMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Digital Diagnostics Inc. CurrentSince May 26, 2021 Accepting new patients
Austin Retina Associates PLLC Ophthalmology CurrentSince Nov 15, 2022 Accepting new patients
Austin Retina Associates PLLC Ophthalmology CurrentSince Nov 15, 2022 Accepting new patients
Glaucoma Institute of Austin PA Ophthalmology Past Accepting new patients

Locations

1512 W 35th St
Ste 200
Austin, TX 78703

801 W 38th St
Ste 200
Austin, TX 78705

4207 James Casey St
Ste 301
Austin, TX 78745
Phone (512) 444-7944

627 Highway 71 W
Bastrop, TX 78602
Phone (833) 586-0199

2801 S Water St
Burnet, TX 78611
Phone (512) 756-2131

3124 E Central Texas Expy
Killeen, TX 76543
Phone (254) 690-4733

101 Medical Pkwy
Ste 240
Lakeway, TX 78738

200 Max Starcke Dam Rd
Ste 240
Marble Falls, TX 78654

503 Highway 1431
Ste 101
Marble Falls, TX 78654
Phone (830) 798-2400

1545 Round Rock Ave
Ste 200
Round Rock, TX 78681
Phone (512) 610-2820

319 W Harris Ave
San Angelo, TX 76903
Phone (325) 658-8595

220 Opportunity Blvd
Unit 2A
San Marcos, TX 78666

2400 Ambassador Dr
Waco, TX 76712
Phone (254) 756-4457

14500 Ranch Road 12
Ste 8
Wimberley, TX 78676
Phone (512) 353-1300

Interoperability endpoints

  • Direct secure messaging: aroller@txretina.intellechartdirect.net
  • Direct secure messaging: aroller@austinretina.intellechartdirect.net

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1700085248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 W 35TH ST STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787031437",
            "telephone_number": "512-451-0103",
            "fax_number": "512-451-2741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W 38TH ST STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051169",
            "telephone_number": "512-451-0103",
            "fax_number": "512-451-2741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4010 Sandy Brook Dr",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786651516",
            "country_code": "US",
            "telephone_number": "512-651-2201",
            "fax_number": "512-651-2207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROLLER",
        "first_name": "AARON",
        "middle_name": "BROCK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-14",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "R-7994",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "38879",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "TX",
            "license": "P2061",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "P2061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aroller@txretina.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "4010 Sandy Brook Dr",
            "address_2": "Suite 105",
            "city": "Round Rock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786651516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.