DR. JACKSON ROOS MD
NPI 1023694973
Emergency Medicine in Los Angeles, CA

Active since March 22, 2021PECOS EnrolledAccepts Medicare Assignment
1200 N STATE ST, LOS ANGELES, CA 90089(207) 749-7690 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 18, 2025, Oct 17, 2023, Mar 22, 2021 (3 updates tracked since 2021).

About Dr. Jackson Roos Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACKSON ROOS MD (NPI 1023694973) is an individual emergency medicine provider in Los Angeles, California, licensed in Louisiana (345649) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center Acute, and is a graduate of Tulane University School Of Medicine (2021).

NPPES Registry Identity

NPI1023694973
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JACKSON ROOSCredential: MD
Location Address1200 N STATE STLos Angeles, CA 90089-1001
Mailing Address1200 N State St # 1060kLos Angeles, CA 90089-1001 · (207) 749-7690
Sole ProprietorYes
Medical School CMSTulane University School Of MedicineGraduated 2021
Enumeration DateMarch 22, 2021
Last NPPES UpdateJune 18, 20253 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
NPI 1023694973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in LA · 345649
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1200 N STATE ST, Los Angeles, CA 90089

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jackson Roos Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628519873
PECOS Enrollment IDI20250404000470
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ochsner Medical Center Acute

Acute Care Hospitals · New Orleans, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190036
Location1516 Jefferson HwyNew Orleans, LA 70121 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90089 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Neurological Surgery
1200 N STATE ST, SUITE 3300
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST, CT-A7D
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Obstetrics & Gynecology
1200 N STATE ST
LOS ANGELES, CA 90089

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackson Roos's NPI number?

The NPI number for Jackson Roos is 1023694973. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Where is Jackson Roos located?

Jackson Roos practices at 1200 N State St, Los Angeles, CA 90089. The listed phone number is (207) 749-7690.

What is Jackson Roos's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jackson Roos enrolled in Medicare?

Yes. Jackson Roos is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jackson Roos accept?

Health plans from CHRISTUS Health Plan list Jackson Roos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jackson Roos affiliated with any hospitals?

According to CMS data, Jackson Roos is affiliated with Ochsner Medical Center Acute.

When was this NPI record last updated?

The NPPES record for Jackson Roos was last updated on June 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.