ELAINE ROH (MD) – Geriatric Medicine (Family Medicine) Physician, NPI 1033614722

ELAINE ROH (MD) is a healthcare provider. based in Pomona, California. specializing in FAMILY PRACTICE, GERIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. A164766 (CA). The NPI Number for ELAINE ROH (MD) is 1033614722

Main info

Female
9 Years Of Experience
Name
ELAINE ROH (MD)
NPI
1033614722
Phone
(909) 469-9494
Address
1770 N ORANGE GROVE AVE STE 101
Enumeration Date
26 March 2018
Last Update Date
25 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9094699494
Graduation Year
2017 (9 years ago)
PAC ID
6901230648
Group Practice PAC ID
4284547522
Professional Enrollment ID
I20220418000213
Address ID
CA917673027PO1770XAVEX506
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:8State licenses:1Digital endpointsOther names

13,190 FAMILY PRACTICE in CA

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Provider Addresses for ELAINE ROH (MD)

  • Orange Grove Avenue, Pomona, Los Angeles County, California, 91767, United States

    POMONA, CA 917673027

    Phone: (909) 469-9494

    Fax: (909) 469-2120

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-04-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220418000213IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes14476$0
99215Established patient office or other outpatient visit, 40-54 minutes6743$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes3312$0
99213Established patient office or other outpatient visit, 20-29 minutes3225$0
93005Routine electrocardiogram (ecg) using at least 12 leads with tracing1413$0
View full utilization report →

Insurance plans in this area (ZIP 91767)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284547522View full group profile
NameSpecialtyState
Family PracticeCA
Family Practice, Geriatric MedicineCA
-CA
Family PracticeCA
Family Practice, Hospice/Palliative CareUT
Family Practice, Sports MedicineCA
-CA
Family PracticeCA
Family PracticeCA
-CA

Reviews

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Frequently asked questions

Is there an official ID for ELAINE ROH (MD) in U.S. healthcare records?
The official identifier for ELAINE ROH (MD) is NPI 1033614722.
Active or inactive — what applies to ELAINE ROH (MD)?
You should see ELAINE ROH (MD) as active in CMS-hosted NPPES data.
How would a patient describe ELAINE ROH (MD)'s focus?
For ELAINE ROH (MD), the primary taxonomy reads as Geriatric Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
Is ELAINE ROH (MD) associated with Pomona?
Public fields place ELAINE ROH (MD) around Pomona, California. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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