Active NPI
T J Maroon II, M.D.
- Pain Medicine (Anesthesiology) Physician
- Roseville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- A55307
- Practice address
- 729 Sunrise Ave Ste 602
Roseville, CA 95661-4542 - Phone
- (916) 953-7571
- Fax
- (916) 771-8515
- NPI assigned
- Mar 10, 2006
- Last updated
- Apr 9, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A55307 | CA | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | A55307 | CA | Primary |
Addresses
Primary practice location
729 Sunrise Ave Ste 602
Roseville, CA 95661-4542
Mailing address
5098 Foothills Blvd # 3-335
Roseville, CA 95747-6526
Phone (916) 765-8698
Other practice location 1
480 Del Norte Ave
Yuba City, CA 95991-4125
Phone (916) 953-7571
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0046250 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A55307 | CA | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Pain Diagnostic & Solutions, Inc. | Current | Accepting new patients | |
| Sierra Nevada Anesthesia Medical Assoc Inc | Anesthesiology | Past | Accepting new patients |
| Sierra Nevada Anesthesia Medical Associates, Inc. | Anesthesiology | Past | Accepting new patients |
| Anesthesia Consultants of Sacramento a Medical Group, Inc. | Anesthesiology | Past | Accepting new patients |
Locations
729 Sunrise Ave
Ste 602
Roseville, CA 95661
Phone (916) 781-7882
729 Sunrise Ave
Ste 611
Roseville, CA 95661
Phone (916) 953-7571
480 Del Norte Ave
Yuba City, CA 95991
Phone (916) 953-7571
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- tj.maroon.p1@direct.apdss.nextgenshare.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pain Clinic/Center
- Yuba City, CA
- NPI 1124547559
-
- Anesthesiology Physician
- Sacramento, CA
- NPI 1871507293
-
- Anesthesiology Physician
- Grass Valley, CA
- NPI 1285737239
-
- Anesthesiology Physician
- Grass Valley, CA
- NPI 1508051780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586390400000",
"number": "1720056153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5098 FOOTHILLS BLVD # 3-335",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "957476526",
"telephone_number": "916-765-8698",
"fax_number": "916-783-6695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "729 SUNRISE AVE STE 602",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956614542",
"telephone_number": "916-953-7571",
"fax_number": "916-771-8515"
}
],
"practiceLocations": [
{
"address_1": "480 Del Norte Ave",
"address_purpose": "LOCATION",
"city": "Yuba City",
"state": "CA",
"postal_code": "959914125",
"country_code": "US",
"telephone_number": "916-953-7571",
"fax_number": "916-771-8515",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAROON",
"first_name": "T",
"middle_name": "J",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-10",
"last_updated": "2020-04-09",
"certification_date": "2020-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A55307",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "CA",
"license": "A55307",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0046250",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.