Individual provider Active NPI

Jerome John Rogich, MS, MD, DIMM

  • Emergency Medicine Physician
  • Flagstaff, AZ
National Provider Identifier
1881190403
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A174255 Issued in CA
Practice address
1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone
(928) 779-3366
NPI assigned
Apr 3, 2018
Last updated
Mar 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A174255 CA Primary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X A780935 AZ

Addresses

Primary practice location

1200 N Beaver St
Flagstaff, AZ 86001-3118

Mailing address

1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 214-3930

Other practice location 1

269 S Candy Ln
Cottonwood, AZ 86326-4158
Phone (928) 779-3366

Other practice location 2

3700 Rt 89A, Suite B
Sedona, AZ 86336
Phone (928) 204-4944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA, TX3 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

Enrollment IDStateProvider typePAC IDDetails
I20210917002146 AZ Practitioner - Emergency Medicine 4082011010 Reassigns benefits to 2 organizations
I20220823002753 CA Practitioner - Emergency Medicine 4082011010 Reassigns benefits to 1 organization
I20250922003162 TX Practitioner - Emergency Medicine 4082011010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flagstaff Emergency PhysiciansGroup PAC ID 2860380813, 43 clinicians
District Medical Group IncGroup PAC ID 7315086691, 454 clinicians
DHHS IHS Phoenix AreaGroup PAC ID 9436325420, 31 clinicians

Practice addresses (Care Compare)

1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 774-1693

2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone (602) 344-5011

264 Hwy
Polacca, AZ 86042
Phone (928) 737-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.08 of 100Reported as group
Quality
77.37
Improvement activities
40
Cost
98.19

Merit-based Incentive Payment System (MIPS)

Final score
76.21 of 100Reported as group
Quality
70.63
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
66.85
Promoting interoperability
99
Improvement activities
40
Cost
74.4

Merit-based Incentive Payment System (MIPS)

Final score
95.59 of 100Reported as group
Quality
81.55
Promoting interoperability
100
Improvement activities
40
Cost
79.5

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A174255CAMDEmergency Medicine Physician
A780935AZMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Flagstaff Emergency Physicians Emergency Medicine CurrentSince Oct 25, 2021 Accepting new patients
District Medical Group, Inc Emergency Medicine CurrentSince Sep 1, 2022 Accepting new patients
Salinas Valley Emergency Medical Group, Inc Emergency Medicine CurrentSince May 12, 2022 Accepting new patients
District Medical Group, Inc Current Accepting new patients
DHHS IHS Phoenix Area Emergency Medicine CurrentSince Jun 27, 2025 Accepting new patients
District Medical Group, Inc CurrentSince Sep 1, 2022 Accepting new patients

Locations

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

2601 E Roosevelt St
Ste 0D10
Phoenix, AZ 85008

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

5102 W Campbell Ave
Phoenix, AZ 85031
Phone (623) 848-5000

3700 W State Route 89A
Sedona, AZ 86336
Phone (928) 204-3000

3700 W State Route 89A
Ste B
Sedona, AZ 86336
Phone (928) 204-4180

100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301

450 E Romie Ln
Salinas, CA 93901
Phone (831) 372-7844

Interoperability endpoints

  • Direct secure messaging: jrogich173489@direct.valleywisehealth.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1881190403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N BEAVER ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013118",
            "telephone_number": "928-214-3930",
            "fax_number": "928-214-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N BEAVER ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013118",
            "telephone_number": "928-779-3366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "269 S Candy Ln",
            "address_purpose": "LOCATION",
            "city": "Cottonwood",
            "state": "AZ",
            "postal_code": "863264158",
            "country_code": "US",
            "telephone_number": "928-779-3366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3700 Rt 89A, Suite B",
            "address_purpose": "LOCATION",
            "city": "Sedona",
            "state": "AZ",
            "postal_code": "86336",
            "country_code": "US",
            "telephone_number": "928-204-4944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGICH",
        "first_name": "JEROME",
        "middle_name": "JOHN",
        "credential": "MS, MD, DIMM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-03",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A174255",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "AZ",
            "license": "A780935",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.