DR. ROGER D. WOODRUFF MD
NPI 1073686713
Family Medicine in Loma Linda, CA
About Dr. Roger D. Woodruff Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ROGER D. WOODRUFF MD (NPI 1073686713) is an individual family medicine provider in Loma Linda, California, licensed in California (G60539) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Roger D. Woodruff Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Roger Woodruff reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Loma Linda, CA 92354
- Reassigned Medicare billing, California enrollment
- 2,584 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92354 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOMA LINDA, CA 92354
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 Roger Woodruff's NPI number?
The NPI number for Roger Woodruff is 1073686713. It was assigned to this individual provider in the NPPES registry on November 17, 2006.
Where is Roger Woodruff located?
Roger Woodruff practices at 25455 Barton Rd Ste 206A, Loma Linda, CA 92354. The listed phone number is (909) 558-6505.
What is Roger Woodruff's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Roger Woodruff enrolled in Medicare?
Yes. Roger Woodruff is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Roger Woodruff's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Roger Woodruff reassigns Medicare benefits to Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA). The 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 Roger Woodruff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Roger Woodruff was last updated on October 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Dr. Roger D. Woodruff, MD · NPI 1073686713
Family Medicine physician in Loma Linda, California. Individual provider, active in the CMS NPPES registry since November 17, 2006.
## Identity
- **NPI:** 1073686713 (Entity type: Individual)
- **Enumerated:** November 17, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** G60539 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 25455 BARTON RD STE 206A, Loma Linda, CA 92354-3130
- **Phone:** (909) 558-6505 · **Fax:** (909) 558-6701
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Faculty Physicians And Surgeons Of Llusm (NPI 1275582918, Loma Linda, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 22, 2015
- **Other identifiers:** Other 1073686713 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1073686713) · Data from the CMS NPPES public registry.