CAROL ROEDER (MD) – Emergency Medicine Physician, NPI 1366515330
Emergency Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for CAROL ROEDER (MD)
2150 N 107th St Ste 480
Seattle, WA 98133
Phone: (201) 696-2353
Type: Location
2645 Meridian Pkwy Ste 323
Durham, NC 27713
Phone: (657) 237-2450
Type: Location
9020 SW Washington Square Rd Ste 100
Tigard, OR 97223
Phone: (503) 420-5852
Type: Location
1491 Polaris Pkwy # 20922
Columbus, OH 43240
Phone: (657) 237-2450
Type: Location
10870 Benson Dr Ste 2160
Overland Park, KS 662101509
Phone: (833) 357-3227
Type: Location
2101 Rosecrans Ave # 3230
El Segundo, CA 90245
Phone: (323) 628-8671
Type: Location
Canton Kinder Care, Dressler Road Northwest, Monterey Heights, Jackson Township, Stark County, Ohio, 44718, United States
CANTON, OH 447182545
Phone: (330) 493-4443
Type: Mailing
646, Seneca Street, Larkinville, Buffalo, Erie County, New York, 14210, United States
BUFFALO, NY 142101351
Phone: (716) 995-4450
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: 2024-11-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241127003321 | I | Emergency Medicine | FL | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98133)
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