Active NPI
Woodlyne Roquiz, D.O.
- Anatomic Pathology & Clinical Pathology Physician
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- OP61342379
- Practice address
- 1521 Gull Rd
Kalamazoo, MI 49048-1640 - Phone
- (330) 212-0819
- NPI assigned
- May 21, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Hematology (Pathology) Physician | 207ZH0000X | 036.134686 | IL | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | OP61342379 | WA | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 036.134686 | IL |
Addresses
Primary practice location
1521 Gull Rd
Kalamazoo, MI 49048-1640
Mailing address
26104 W Stewart Ridge Dr
Plainfield, IL 60585-5301
Phone (630) 848-9099
Other practice location 1
3927 Rucker Ave
Everett, WA 98201-4833
Phone (425) 339-5453
Other practice location 2
904 7th Ave
Seattle, WA 98104-1132
Phone (206) 329-1760
Other practice location 3
506 E State Pkwy
Schaumburg, IL 60173-4538
Phone (847) 755-5176
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036134686 | Medicaid | IL | |
| F400450583 | Other | IL | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- 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
- Pathology
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
904 7TH Ave
Seattle, WA 98104-1132
Phone (206) 309-1760
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.134686 | IL | MD | Anatomic Pathology & Clinical Pathology Physician |
| OP61342379 | WA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Care Washington PLLC | Current | Accepting new patients | |
| The Polyclinic | Current | Accepting new patients | |
| The Polyclinic PLLC | Current | Accepting new patients | |
| Optum Care Washington PLLC | Current | Accepting new patients | |
| The Polyclinic PLLC | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
3927 Rucker Ave
Everett, WA 98201
Phone (425) 339-5419
1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903
1145 Broadway
Seattle, WA 98122
904 7th Ave
Seattle, WA 98104
Phone (206) 223-6487
1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299
1812 S J St
Ste 102
Tacoma, WA 98405
Phone (253) 552-4900
Interoperability endpoints
- https://api.platform.athenahealth.com/3889/brand/1/csg/1/fhir/r4
- wroquiz209325@dulyhealthandcare.direct-ci.com
Organizations & group practices 6
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.
-
- Audiologist
- Seattle, WA
- NPI 1174594634
-
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1831186766
-
- Durable Medical Equipment & Medical Supplies
- Marysville, WA
- NPI 1194428425
-
- Ambulatory Surgical Clinic/Center
- Seattle, WA
- NPI 1073944039
-
- Durable Medical Equipment & Medical Supplies
- Tacoma, WA
- NPI 1831411487
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789257600000",
"number": "1730449125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26104 W STEWART RIDGE DR",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605855301",
"telephone_number": "630-848-9099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1521 GULL RD",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490481640",
"telephone_number": "330-212-0819"
}
],
"practiceLocations": [
{
"address_1": "3927 Rucker Ave",
"address_purpose": "LOCATION",
"city": "Everett",
"state": "WA",
"postal_code": "982014833",
"country_code": "US",
"telephone_number": "425-339-5453",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "904 7th Ave",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981041132",
"country_code": "US",
"telephone_number": "206-329-1760",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "506 E State Pkwy",
"address_purpose": "LOCATION",
"city": "Schaumburg",
"state": "IL",
"postal_code": "601734538",
"country_code": "US",
"telephone_number": "847-755-5176",
"fax_number": "224-408-2293",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROQUIZ",
"first_name": "WOODLYNE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-21",
"last_updated": "2026-09-13",
"certification_date": "2026-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "207ZH0000X",
"taxonomy_group": "",
"desc": "Pathology, Hematology",
"state": "IL",
"license": "036.134686",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "WA",
"license": "OP61342379",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IL",
"license": "036.134686",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036134686",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "F400450583",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2026; 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.