Active NPI
Roger W Gilbert, PA
- Surgical Physician Assistant
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 3209
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 961111 | Medicaid | AZ | |
| 3209 | Other | AZ | AZ LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, NC, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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
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
- Northern Montana Hospital
- Unc Hospitals
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3209 | AZ | MD | Orthopedic Physical Therapist |
| 165335 | MT | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benefis Hospitals Inc | Current | Accepting new patients | |
| University of North Carolina at Chapel Hill | Current | Accepting new patients | |
| University of North Carolina at Chapel Hill | Current | Accepting new patients | |
| St. Joseph'S Hospital and Medical Center | Current | 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.
-
- Multi-Specialty Clinic/Center
- Great Falls, MT
- NPI 1780968974
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1326098005
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Phoenix, AZ
- NPI 1528127305
-
- Emergency Care Clinic/Center
- Phoenix, AZ
- NPI 1255382412
-
- Anesthesiology Physician
- Chapel Hill, NC
- NPI 1780669200
-
- Family Medicine Physician
- Raleigh, NC
- NPI 1972912285
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Chandler, AZ
- NPI 1912009820
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Great Falls, MT
- NPI 1881650737
-
- Critical Access Hospital
- Havre, MT
- NPI 1427059070
-
- General Acute Care Hospital
- Chapel Hill, NC
- NPI 1932208576
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.