Individual provider Active NPI

Erick Michael Roff, D.O.

  • Neurology Physician
  • Pensacola, FL
National Provider Identifier
1841647161
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
OS17791 Issued in FL
Practice address
2120 E Johnson Ave Ste 106
Pensacola, FL 32514-6091
Phone
(850) 494-3954
Fax
(850) 494-6936
NPI assigned
May 17, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X OS17791 FL Primary

Addresses

Primary practice location

2120 E Johnson Ave Ste 106
Pensacola, FL 32514-6091

Mailing address

2120 E Johnson Ave Ste 106
Pensacola, FL 32514-6091
Phone (850) 494-3954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240517001802 FL Practitioner - Neurology 3870978380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
West Florida Specialty Physicians LLCGroup PAC ID 6002943198, 17 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

8383 N Davis Hwy
1St Floor
Pensacola, FL 32514-6039
Phone (850) 494-3954

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS17791FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Florida Specialty Physicians LLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

8383 N Davis Hwy
Fl 1
Pensacola, FL 32514
Phone (850) 494-3954

2120 E Johnson Ave
Ste 106
Pensacola, FL 32514
Phone (850) 494-3954

8333 N Davis Hwy
Fl 4
Pensacola, FL 32514
Phone (850) 474-8610

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: erick.roff@hca5.eclinicaldirectplus.com

Organizations & group practices 2

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 3

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": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1841647161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 E JOHNSON AVE STE 106",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146091",
            "telephone_number": "850-494-3954",
            "fax_number": "850-494-6936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 E JOHNSON AVE STE 106",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146091",
            "telephone_number": "850-494-3954",
            "fax_number": "850-494-6936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROFF",
        "first_name": "ERICK",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-17",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "OS17791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.