Individual provider Active NPI

John D Roehrs, MD

  • Pulmonary Disease Physician
  • Phoenix, AZ
National Provider Identifier
1780657668
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
27597 Issued in AZ
Practice address
9200 N Central Ave Ste 3
Phoenix, AZ 85020-2463
Phone
(602) 943-9494
Fax
(602) 944-3898
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 27597 AZ
Pulmonary Disease Physician 207RP1001X 27597 AZ Primary

Addresses

Primary practice location

9200 N Central Ave Ste 3
Phoenix, AZ 85020-2463

Mailing address

9200 N Central Ave Ste 3
Phoenix, AZ 85020-2463
Phone (602) 943-9494

Other practice location 1

10615 N Hayden Rd
Suite 100
Scottsdale, AZ 85260-5577
Phone (480) 991-0480

Other identifiers 1

IdentifierTypeStateIssuer
514449MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20050719001328 AZ Practitioner - Pulmonary Disease 9234121401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
University of Nebraska College of Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alveo LCGroup PAC ID 1254573546, 4 clinicians

Practice addresses (Care Compare)

9200 N Central Ave
Suite 3
Phoenix, AZ 85020-2463
Phone (602) 943-9494

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12570NEMDMental Health Counselor
30196IAMDOral and Maxillofacial Surgery (Dentist)
27597AZMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alveo LC Pulmonary Disease CurrentSince Sep 1, 2013 Accepting new patients
Rem Medical Arizona LLC Past Accepting new patients
Your Health and Wellness PLLC PastSince Sep 28, 2021 Accepting new patients

Locations

3326 N 3rd Ave
Ste 201
Phoenix, AZ 85013
Phone (602) 625-7944

9212 N Central Ave
Phoenix, AZ 85020
Phone (480) 999-4954

9200 N Central Ave
Ste 3
Phoenix, AZ 85020
Phone (602) 242-0299

9225 N 3rd St
Ste 300
Phoenix, AZ 85020
Phone (602) 870-1821

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27169/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1780657668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 N CENTRAL AVE STE 3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202463",
            "telephone_number": "602-943-9494",
            "fax_number": "602-944-3898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 N CENTRAL AVE STE 3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202463",
            "telephone_number": "602-943-9494",
            "fax_number": "602-944-3898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10615 N Hayden Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852605577",
            "country_code": "US",
            "telephone_number": "480-991-0480",
            "fax_number": "480-991-0478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROEHRS",
        "first_name": "JOHN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "AZ",
            "license": "27597",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "27597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "514449",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.