DR. KATHERINE W ROLLER M.D.
NPI 1093755563
Family Medicine in Walnut Creek, CA
About Dr. Katherine W Roller M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KATHERINE W ROLLER M.D. (NPI 1093755563) is an individual family medicine provider in Walnut Creek, California, licensed in California (A62718) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (1995).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
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. Katherine W Roller M.d. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Katherine Roller reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Berkeley, CA 94702
- Reassigned Medicare billing, California enrollment
- 241 clinicians in this Medicare group
Fairfield, CA 94534
- Reassigned Medicare billing, California enrollment
- 225 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 94598 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 7
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WALNUT CREEK, CA 94598
WALNUT CREEK, CA 94598
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 Katherine Roller's NPI number?
The NPI number for Katherine Roller is 1093755563. It was assigned to this individual provider in the NPPES registry on June 6, 2006.
Where is Katherine Roller located?
Katherine Roller practices at 1455 Montego Suite 104, Walnut Creek, CA 94598. The listed phone number is (925) 946-1711.
What is Katherine Roller's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Katherine Roller enrolled in Medicare?
Yes. Katherine Roller 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 Katherine Roller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Roller reassigns Medicare benefits to 2 organizations: Lifelong Medical Care (Berkeley, CA) and Northbay Health Medical Foundation (Fairfield, CA). 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 Katherine Roller'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 Katherine Roller was last updated on June 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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. Katherine W Roller, M.D. · NPI 1093755563
Family Medicine physician in Walnut Creek, California. Individual provider, active in the CMS NPPES registry since June 6, 2006.
## Identity
- **NPI:** 1093755563 (Entity type: Individual)
- **Enumerated:** June 6, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A62718 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1455 MONTEGO, SUITE 104, Walnut Creek, CA 94598-2990
- **Phone:** (925) 946-1711 · **Fax:** (925) 946-1902
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Lifelong Medical Care (NPI 1689670002, Berkeley, CA); Northbay Health Medical Foundation (NPI 1760283527, Fairfield, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University, class of 1995
## Record status
- **NPPES last updated:** June 21, 2012
- **Other identifiers:** Medicare PIN P00380169 (CA); Medicare PIN 00A627183 (CA); Medicaid 00A627180 (CA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1093755563) · Data from the CMS NPPES public registry.