Jacob E Roffe, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

H6935 Issued in TX

Practice address

17480 Dallas Pkwy
Suite 125
Dallas, TX 75287-7337

Phone

(972) 488-8926

Fax

(972) 881-4390

NPI assigned

Jun 13, 2006

Last updated

Jul 24, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Anesthesiology

Education

Other, 1978

Medicare assignment

May accept Medicare assignment

Group practices

Pilot Anesthesia PLLCGroup PAC ID 0648511444, 16 clinicians

TX-an Anesthesia PLLCGroup PAC ID 8527367937, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

State licenses

Practice roles

Locations

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.

• Pilot Anesthesia PLLC

  • Anesthesiology Physician
  • Plano, TX
  • NPI 1134692478
  Medicare reassignment Care Compare group NPD
• TX-an Anesthesia PLLC

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1366815011
  Medicare reassignment Care Compare group NPD
• TX-an Obstetrics Anesthesia, L.L.P

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1174764203
  NPD Authorized official
• Jacob Roffe MD PA

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1184669608
  Authorized official Same address or phone

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1740222546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17480 DALLAS PKWY",
            "address_2": "SUITE 125",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752877337",
            "telephone_number": "972-488-8926",
            "fax_number": "972-881-4390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17480 DALLAS PKWY",
            "address_2": "SUITE 125",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752877337",
            "telephone_number": "972-488-8926",
            "fax_number": "972-881-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROFFE",
        "first_name": "JACOB",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "H6935",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "H6935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel M Roeller, MCN, RD, LD
• Stephanie Roelofs, LCSW
• Alyssa Roemer, LMSW
• Zachary Kenneth Roesch, MD
• Christal Roeum, PT
• Maria Rogel-Martinez
• Roger O. Schorlemer MD (Clinical Pediatric Associates)
• Rogers Clinic of Chiropractic Rehabilitation PLLC
• Adam Joseph Rogers, D.C.
• Angela Jean Rogers, M.D.

• Anesthesiology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.

Verify at the official NPI Registry.