Theresa Pryor Roca, MD

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

ME92034 Issued in FL

Practice address

5153 N 9TH Ave
Pensacola, FL 32504

Phone

(850) 505-4700

Fax

(850) 505-4711

NPI assigned

Jan 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL, AL, MS3 enrollments

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 3

Specialty

Pediatric Medicine

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ochsner Mississippi, LLCGroup PAC ID 0143580993, 98 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: troca15777@directinfirmaryhealth.org
• Direct secure messaging: troca2467108@direct.ochsner.org

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.

• Ochsner Mississippi, LLC

  • Internal Medicine Physician
  • Bay Saint Louis, MS
  • NPI 1538674239
  Medicare reassignment Care Compare group
• Florida Clinical Practice Association Inc

  • Surgery Physician
  • Gainesville, FL
  • NPI 1063463768
  Medicare reassignment NPD
• Imc-Diagnostic and Medical Clinic LLC

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1447201066
  Medicare reassignment NPD
• Florida Clinical Practice Association Inc

  • Durable Medical Equipment & Medical Supplies
  • Ocala, FL
  • NPI 1609529478
  NPD
• Sacred Heart Health System, Inc.

  • Ambulatory Family Planning Facility
  • Pensacola, FL
  • NPI 1962453308
  NPD
• Imc-Diagnostic and Medical Clinic LLC

  • Multi-Specialty Clinic/Center
  • Saraland, AL
  • NPI 1568235000
  NPD
• Ochsner Mississippi, LLC

  • Internal Medicine Physician
  • Diamondhead, MS
  • NPI 1316662059
  NPD
• Ochsner Mississippi, LLC

  • Internal Medicine Physician
  • Bay St Louis, MS
  • NPI 1619477577
  NPD
• Mobile Heart Specialists PC

  • Specialist
  • Mobile, AL
  • NPI 1063477644
  NPD (past)

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1861470239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191",
            "address_2": "PROVIDER ENROLLMENT DEPT",
            "city": "ROCKLAND",
            "state": "DE",
            "postal_code": "197320191",
            "telephone_number": "302-651-6212",
            "fax_number": "302-651-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5153 N 9TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32504",
            "telephone_number": "850-505-4700",
            "fax_number": "850-505-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCA",
        "first_name": "THERESA",
        "middle_name": "PRYOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "FL",
            "license": "ME92034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00117936",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009934152",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273251300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara L. Robinson, CCC-A
• Tiffany Chanel Robinson
• Tyrone L Robinson
• Valerie Robinson, APRN
• Wendell Chaz Robinson, RN, SRNA
• Jason R Rocha, M.D.
• Rochetto Counseling Services, PLLC
• Alexandria A Rochetto, LMHC
• Aliece Dillard Rockwell, ARNP
• Rocky Mountain Holdings, LLC

• Pediatric Cardiology Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Pediatric Cardiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.