DR. JAVIER ROEL CORONADO (M.D.) – Critical Care Medicine (Internal Medicine) Physician, NPI 1154527554

DR. JAVIER ROEL CORONADO (M.D.) is a healthcare provider. based in Roseville, California. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. A120095 (CA). The NPI Number for DR. JAVIER ROEL CORONADO (M.D.) is 1154527554

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAVIER ROEL CORONADO (M.D.)
NPI
1154527554
Phone
(916) 786-7498
Address
5 Medical Plaza Dr Ste 190
Enumeration Date
22 June 2007
Last Update Date
19 December 2025

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5596752575
Graduation Year
2004 (22 years ago)
PAC ID
4981899929
Group Practice PAC ID
0244536894
Professional Enrollment ID
I20130416000605
Address ID
CA936353419LO520XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Digital endpointsOther names

21,508 INTERNAL MEDICINE in CA

Provider Addresses for DR. JAVIER ROEL CORONADO (M.D.)

  • 5 Medical Plaza Dr Ste 190

    Roseville, CA 956612867

    Phone: (916) 786-7498

    Fax: (916) 482-3647

    Type: Location

  • 726 4th St

    Marysville, CA 959015656

    Phone: (530) 749-4377

    Fax: (530) 749-6616

    Type: Location

  • 15630 18th Ave

    Clearlake, CA 954229336

    Phone: (707) 994-6486

    Type: Location

  • Clarkson Avenue, Brownsville, Brooklyn Community District 17, Brooklyn, Kings County, New York, 11212, United States

    BROOKLYN, NY 112032012

    Phone: (718) 270-8867

    Type: Mailing

  • Rideout Regional Medical Center, 726, 4th Street, Marysville, Yuba County, California, 905, United States

    MARYSVILLE, CA 959015656

    Phone: (530) 749-4377

    Fax: (530) 749-6616

    Type: Location

  • 1111 E SPRUCE AVE STE 431

    FRESNO, CA 937203330

    Phone: (559) 450-7449

    Type: Mailing

  • 1303 E HERNDON AVE STE 850

    FRESNO, CA 937203309

    Phone: (559) 450-5672

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $141.

Total Amount is formed as General ($141) + Research ($0) + Ownership ($0) = $141.

Last reported payment date: 2024-05-14 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($122).

Total Amount

$141

General + Research + Ownership

Payments

2

Total payment records

General Amount

$141

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2013-04-16

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
I20130416000605IInternal MedicineCATBD

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
99291Critical care, first 30-74 minutes12342$0
99292Critical care, each additional 30 minutes5316$0
View full utilization report →

Insurance plans in this area (ZIP 95661)

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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: 0244536894View full group profile
NameSpecialtyState
Internal MedicineNV
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineNV
Internal MedicineCA
General Surgery, Critical Care (Intensivists)CA
Internal MedicineCA
Internal MedicineCA
Family PracticeCA

Reviews

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Frequently asked questions

What federal number belongs to DR. JAVIER ROEL CORONADO (M.D.)?
The federal identifier for DR. JAVIER ROEL CORONADO (M.D.) is NPI 1154527554.
Does this profile mean DR. JAVIER ROEL CORONADO (M.D.) is currently active?
Yes — DR. JAVIER ROEL CORONADO (M.D.) appears active in the national provider directory.
What kind of provider is DR. JAVIER ROEL CORONADO (M.D.)?
The page reflects Critical Care Medicine (Internal Medicine) Physician for DR. JAVIER ROEL CORONADO (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. JAVIER ROEL CORONADO (M.D.)?
The page summarizes Roseville, California for DR. JAVIER ROEL CORONADO (M.D.); expand the address list for detail.
Is DR. JAVIER ROEL CORONADO (M.D.) a real provider?
This page reflects official NPPES data for NPI 1154527554. Always confirm identity and privileges with the practice and licensing boards.

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