SUZANNE MARIE ROOZENDAAL (D.O.) – Emergency Medicine Physician, NPI 1104060169

SUZANNE MARIE ROOZENDAAL (D.O.) is a healthcare provider. based in Las vegas, Nevada. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. DO1762 (NV). The NPI Number for SUZANNE MARIE ROOZENDAAL (D.O.) is 1104060169

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
SUZANNE MARIE ROOZENDAAL (D.O.)
NPI
1104060169
Phone
(702) 576-9608
Address
8670 W CHEYENNE AVE STE 120
Enumeration Date
21 April 2009
Last Update Date
15 August 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8566864394
Graduation Year
2009 (17 years ago)
PAC ID
7517132038
Group Practice PAC ID
4880684554
Professional Enrollment ID
I20131023001268
Address ID
NV891280436LA3100XWAYX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

520 EMERGENCY MEDICINE in NV

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Provider Addresses for SUZANNE MARIE ROOZENDAAL (D.O.)

  • 120, West Cheyenne Avenue, North Las Vegas, Clark County, Nevada, 89032, United States

    LAS VEGAS, NV 891297457

    Phone: (702) 576-9608

    Type: Mailing

  • South Maryland Parkway, John S. Park, Five Points, Las Vegas, Clark County, Nevada, 89101, United States

    LAS VEGAS, NV 891092317

    Phone: (702) 731-8000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-07-22 • Largest payer in this snapshot: Teleflex LLC ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Teleflex LLC$15
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: 2013-10-23

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
I20131023001268IEmergency MedicineNVTBD

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
99285Emergency department visit with high level of medical decision making149147$0
99291Critical care, first 30-74 minutes4949$0
99284Emergency department visit with moderate level of medical decision making3636$0
View full utilization report →

Insurance plans in this area (ZIP 89129)

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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: 4880684554View full group profile
NameSpecialtyState
Emergency MedicineAZ
Emergency MedicineNV
Emergency MedicineOH
Nurse PractitionerNV
Emergency Medicine, Internal MedicineNV
-NV
Emergency MedicineMI
Emergency MedicineFL
Emergency MedicineCA
Emergency MedicineCA

Reviews

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Frequently asked questions

What number should I use to identify SUZANNE MARIE ROOZENDAAL (D.O.) for billing?
Administrative and clinical systems typically use NPI 1104060169 for SUZANNE MARIE ROOZENDAAL (D.O.).
Is SUZANNE MARIE ROOZENDAAL (D.O.) currently accepting referrals based on NPI status?
Registry metadata lists SUZANNE MARIE ROOZENDAAL (D.O.) as active.
What services align with SUZANNE MARIE ROOZENDAAL (D.O.)'s listing?
SUZANNE MARIE ROOZENDAAL (D.O.)'s public classification highlights Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SUZANNE MARIE ROOZENDAAL (D.O.)?
SUZANNE MARIE ROOZENDAAL (D.O.) is associated with Las Vegas, Nevada in the same public data insurers reference.
Why is information missing for SUZANNE MARIE ROOZENDAAL (D.O.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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