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: October 18, 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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Jackson Roos reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
2215 TRUXTUN AVE
Bakersfield, CA 93301
  • Reassigned Medicare billing, California enrollment
  • 200 clinicians in this Medicare group
Emergency Medicine
500 RUE DE SANTE
La Place, LA 70068
  • Reassigned Medicare billing, Louisiana enrollment
  • 120 clinicians in this Medicare group
Emergency Medicine
1057 PAUL MAILLARD RD
Luling, LA 70070
  • Reassigned Medicare billing, Louisiana enrollment
  • 114 clinicians in this Medicare group
Emergency Medicine
180 W ESPLANADE AVE
Kenner, LA 70065
  • Reassigned Medicare billing, Louisiana enrollment
  • 181 clinicians in this Medicare group
Emergency Medicine
2700 NAPOLEON AVE
New Orleans, LA 70115
  • Reassigned Medicare billing, Louisiana enrollment
  • 240 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
Dermatology
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

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.

Which organizations bill Medicare for Jackson Roos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jackson Roos reassigns Medicare benefits to 5 organizations: Pinnacle Emergency Physicians Of Bakersfield, A Professional Corp (Bakersfield, CA), St. John Emergency Group LLC (La Place, LA), Luling Emergency Group LLC (Luling, LA), Kenner Emergency Group LLC (Kenner, LA) and Belle Chasse Emergency Group LLC (New Orleans, LA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jackson Roos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.