Individual provider Active NPI

Roger W Gilbert, PA

  • Surgical Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1851383236
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
3209 Issued in AZ
Practice address
500 W Thomas Rd Ste 850
Phoenix, AZ 85013-4218
Phone
(602) 406-1150
Fax
(602) 406-1159
NPI assigned
Aug 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 3209 AZ Primary
Surgical Physician Assistant 363AS0400X 165335 MT

Addresses

Primary practice location

500 W Thomas Rd Ste 850
Phoenix, AZ 85013-4218

Mailing address

PO Box 33269
Phoenix, AZ 85067-3269
Phone (602) 406-4786

Other practice location 1

485 S Dobson Rd Ste 203
Chandler, AZ 85224-5604
Phone (480) 728-2690

Other practice location 2

1300 28th St S Ste 4
Great Falls, MT 59405-5296
Phone (406) 455-4320

Other practice location 3

2460 S Parkview Loop Ste 203
Yuma, AZ 85364-5358
Phone (928) 336-2619

Other identifiers 2

IdentifierTypeStateIssuer
961111MedicaidAZ
3209OtherAZAZ LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NC, MT3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050926000615 AZ Practitioner - Physician Assistant 7315971660 Reassigns benefits to 2 organizations
I20250925004284 NC Practitioner - Physician Assistant 7315971660
I20260109000812 MT Practitioner - Physician Assistant 7315971660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benefis Hospitals IncGroup PAC ID 1153235296, 390 clinicians

Practice addresses (Care Compare)

1300 28TH St S
Suite 2
Great Falls, MT 59405-5296
Phone (406) 455-5000

Hospital & facility affiliations

  • Benefis Hospitals Inc Hospital, Great Falls, MT, CCN 270012
  • Northern Montana Hospital Hospital, Havre, MT, CCN 271348
  • Unc Hospitals Hospital, Chapel Hill, NC, CCN 340061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3209AZMDOrthopedic Physical Therapist
165335MTMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Benefis Hospitals Inc CurrentSince Dec 29, 2025 Accepting new patients
University of North Carolina at Chapel Hill CurrentSince Aug 18, 2025 Accepting new patients
University of North Carolina at Chapel Hill CurrentSince Aug 18, 2025 Accepting new patients
St. Joseph'S Hospital and Medical Center CurrentSince Aug 30, 2020 Accepting new patients
Cardiopulmonary Surgical Associates, PLC Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

485 S Dobson Rd
Ste 203
Chandler, AZ 85224
Phone (480) 728-2690

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

500 W Thomas Rd
Ste 850
Phoenix, AZ 85013
Phone (602) 406-1150

File 56765
Los Angeles, CA 90074

1300 28th St S
Ste 4
Great Falls, MT 59405
Phone (406) 455-4300

1300 28th St S
Ste 2
Great Falls, MT 59405
Phone (406) 731-2362

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1300 28th St S
Fl 2
Great Falls, MT 59405
Phone (406) 455-4320

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

Organizations & group practices 8

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 5

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": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1851383236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33269",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850673269",
            "telephone_number": "602-406-4786",
            "fax_number": "916-636-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W THOMAS RD STE 850",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134218",
            "telephone_number": "602-406-1150",
            "fax_number": "602-406-1159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "485 S Dobson Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852245604",
            "country_code": "US",
            "telephone_number": "480-728-2690",
            "fax_number": "480-728-2689",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 28th St S Ste 4",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594055296",
            "country_code": "US",
            "telephone_number": "406-455-4320",
            "fax_number": "406-731-8318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2460 S Parkview Loop Ste 203",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853645358",
            "country_code": "US",
            "telephone_number": "928-336-2619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "ROGER",
        "middle_name": "W",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "3209",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MT",
            "license": "165335",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "961111",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ LICENSE",
            "identifier": "3209",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.