DR. JAY ROOP (D.O.) – Neuromusculoskeletal Medicine & OMM Physician, NPI 1154655876

DR. JAY ROOP (D.O.) is a healthcare provider. based in Southlake, Texas. specializing in OSTEOPATHIC MANIPULATIVE MEDICINE. They hold the professional credentials D.O.. They hold a License No. P6711 (TX). The NPI Number for DR. JAY ROOP (D.O.) is 1154655876

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAY ROOP (D.O.)
NPI
1154655876
Phone
(817) 416-0970
Address
230 MIRON DR
Enumeration Date
28 September 2009
Last Update Date
3 September 2021

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2073473164
Graduation Year
2009 (17 years ago)
PAC ID
7012151855
Group Practice PAC ID
2365796273
Professional Enrollment ID
I20240513002329
Address ID
ME041023134PO22XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

122 OSTEOPATHIC MANIPULATIVE MEDICINE in TX

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Provider Addresses for DR. JAY ROOP (D.O.)

  • 230, Miron Drive, Southlake, Tarrant County, Texas, 76092, United States

    SUITE 110

    SOUTHLAKE, TX 760928041

    Phone: (817) 416-0970

    Fax: (817) 697-2277

    Type: Mailing

  • 2625, East Southlake Boulevard, Southlake, Tarrant County, Texas, 76092, United States

    SUITE 120

    SOUTHLAKE, TX 760928041

    Phone: (817) 416-0970

    Fax: (817) 697-2277

    Type: Location

  • PO BOX 1578

    ROANOKE, TX 762621578

    Phone:

    Type: Mailing

  • 3500 CAMP BOWIE BLVD

    FORT WORTH, TX 761072644

    Phone: (817) 735-2000

    Type: Location

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: 2024-05-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20130918000478IOsteopathic Manipulative MedicineTXTBD
I20240513002329IOsteopathic Manipulative MedicineMETBD

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 minutes6616$0
98928Osteopathic manipulative treatment, 7-8 body regions2712$0
View full utilization report →

Insurance plans in this area (ZIP 76092)

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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: 2365796273View full group profile
NameSpecialtyState
Osteopathic Manipulative MedicineME
Hospitalist, Osteopathic Manipulative MedicineME
-ME
Osteopathic Manipulative Medicine, Family PracticeCA
Family Practice, Osteopathic Manipulative MedicineME
Osteopathic Manipulative Medicine, Family PracticeME

Reviews

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Frequently asked questions

What is the standard ID for DR. JAY ROOP (D.O.) in the U.S.?
In the U.S., DR. JAY ROOP (D.O.) is identified by NPI 1154655876.
Does the public listing show DR. JAY ROOP (D.O.) as active?
DR. JAY ROOP (D.O.)'s NPI record reflects an active status in NPPES.
What does the directory say DR. JAY ROOP (D.O.) does?
Insurance directories may phrase it differently, but here DR. JAY ROOP (D.O.) maps to Neuromusculoskeletal Medicine & OMM Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. JAY ROOP (D.O.)?
DR. JAY ROOP (D.O.) is associated with Southlake, Texas in the same public data insurers reference.
Why is information missing for DR. JAY ROOP (D.O.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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