JONATHAN ROACH MD
NPI 1073650362
Surgery - Pediatric Surgery in Aurora, CO

Active since January 30, 2007PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
13123 E 16TH AVE, AURORA, CO 80045(720) 777-1234 Get Directions Write a Review

NPPES record last updated: December 11, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 11, 2017, Nov 15, 2017 (2 updates tracked since 2017).

About Jonathan Roach Md NPPES

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

JONATHAN ROACH MD (NPI 1073650362) is an individual pediatric surgery provider in Aurora, Colorado, licensed in Colorado (48258) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Denver, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (2003).

NPPES Registry Identity

NPI1073650362
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameJONATHAN ROACHCredential: MD
Location Address13123 E 16TH AVEAurora, CO 80045-7106
Mailing AddressPo Box 110429Aurora, CO 80042-0429 · (303) 493-7000
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 2003
Enumeration DateJanuary 30, 2007
Last NPPES UpdateDecember 11, 20172 updates tracked since enumeration
✔ NPI 1073650362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Licenses✔ Licensed in CO · 48258✔ Licensed in NM · MD2017-0745
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
13123 E 16TH AVE, Aurora, CO 80045

Secondary Practice Location 1

Location 1University Of Colorado School Of Medicine, 4200 E. 9th Ave.Denver, CO 80262-0001 · Phone (303) 493-7000

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

Jonathan Roach 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 ID7315167236
PECOS Enrollment IDI20140927000253
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

3

Medicare enrollment records show Jonathan Roach reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
13123 E 16TH AVE
Aurora, CO 80045
  • Reassigned Medicare billing, Colorado enrollment
  • 4,283 clinicians in this Medicare group
General Practice
777 BANNOCK ST
Denver, CO 80204
  • Reassigned Medicare billing, Colorado enrollment
  • 2,259 clinicians in this Medicare group
Multi-Specialty
2211 LOMAS NE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,105 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant (Surgical)
13123 E 16TH AVE
AURORA, CO 80045
Anesthesiologist Assistant
13123 E 16TH AVE
AURORA, CO 80045
Registered Nurse (Neonatal Intensive Care)
13123 E 16TH AVE
AURORA, CO 80045
Audiologist
13123 E 16TH AVE, 2ND FLOOR OUTPATIENT PAVILION - AUDIOLOGY
AURORA, CO 80045
Nurse Practitioner (Psychiatric/Mental Health)
13123 E 16TH AVE
AURORA, CO 80045
Nurse Practitioner (Pediatrics)
13123 E 16TH AVE
AURORA, CO 80045
Registered Nurse (Neonatal Intensive Care)
13123 E 16TH AVE
AURORA, CO 80045
Emergency Medicine (Pediatric Emergency Medicine)
13123 E 16TH AVE, AURORA, CO 80045-7106
AURORA, CO 80045

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 Jonathan Roach's NPI number?

The NPI number for Jonathan Roach is 1073650362. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Jonathan Roach located?

Jonathan Roach practices at 13123 E 16th Ave, Aurora, CO 80045. The listed phone number is (720) 777-1234.

What is Jonathan Roach's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Jonathan Roach enrolled in Medicare?

Yes. Jonathan Roach 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 Jonathan Roach's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Roach reassigns Medicare benefits to 3 organizations: University Physicians Incorporated (Aurora, CO), Denver Health And Hospital Authority (Denver, CO) and Unm Medical Group Inc (Albuquerque, NM). 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 Jonathan Roach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Roach accept?

Health plans from Medica, Select Health and UnitedHealthcare list Jonathan Roach 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.

When was this NPI record last updated?

The NPPES record for Jonathan Roach was last updated on December 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.