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JAY S. RODEN M.D.
NPI 1093898447
Surgery - Pediatric Surgery in Dallas, TX

Active since October 21, 2006PECOS Enrolled
12200 PARK CENTRAL DR STE 400, DALLAS, TX 75251(214) 483-9300(214) 483-9301 Get Directions Write a Review

NPPES record last updated: May 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jay S. Roden M.d. NPPES

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

JAY S. RODEN M.D. (NPI 1093898447) is an individual pediatric surgery provider in Dallas, Texas, licensed in Texas (G0019) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093898447
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameJAY S. RODENCredential: M.D.
Location Address12200 PARK CENTRAL DR STE 400Dallas, TX 75251-2116
Mailing Address12200 Park Central Dr Ste 400Dallas, TX 75251-2116 · (214) 483-9300 · Fax (214) 483-9301
Phone(214) 483-9300
Fax(214) 483-9301
Sole ProprietorNo
Enumeration DateOctober 21, 2006
Last NPPES UpdateMay 11, 2020
NPPES CertifiedMay 11, 2020
✔ NPI 1093898447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in TX · G0019
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
12200 PARK CENTRAL DR STE 400, Dallas, TX 75251
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Other Identifiers 1

Medicaid1330870-01TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jay S. Roden M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 14

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

DR. JOHN L. LANOUE M.D.
Surgery (Pediatric Surgery)
12200 PARK CENTRAL DR STE 400
DALLAS, TX 75251
Dallas County (214) 483-9300
DAVID THOMAS SCHINDEL MD
Surgery (Pediatric Surgery)
12200 PARK CENTRAL DR STE 400
DALLAS, TX 75251
Dallas County (214) 483-9300
ANSLEY BENSON PA
Physician Assistant
12200 PARK CENTRAL DR STE 400
DALLAS, TX 75251
Dallas County (214) 483-9300
DEVYN LANE PA-C
Physician Assistant (Surgical)
12200 PARK CENTRAL DR STE 400
DALLAS, TX 75251
Dallas County (214) 483-9300
EMMA LOVE TRASK
Physician Assistant
12200 PARK CENTRAL DR STE 400
DALLAS, TX 75251
Dallas County (214) 483-9300
DR. KEVIN M. KADESKY M.D.
Surgery (Pediatric Surgery)
12200 PARK CENTRAL DR STE 400
DALLAS, TX 75251
Dallas County (214) 483-9300
HALLIE QUIROZ M.D.
Surgery (Pediatric Surgery)
12200 PARK CENTRAL DR STE 400
DALLAS, TX 75251
Dallas County (214) 483-9300
MRS. MAEGAN SHULER BAILEY
Physician Assistant
12200 PARK CENTRAL DR STE 400
DALLAS, TX 75251
Dallas County (214) 483-9300

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 Jay Roden's NPI number?

The NPI number for Jay Roden is 1093898447. It was assigned to this individual provider in the NPPES registry on October 21, 2006.

Where is Jay Roden located?

Jay Roden practices at 12200 Park Central Dr Ste 400, Dallas, TX 75251. The listed phone number is (214) 483-9300.

What is Jay Roden's specialty?

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

Is Jay Roden enrolled in Medicare?

Yes. Jay Roden is registered in the Medicare PECOS enrollment system.

What insurance does Jay Roden accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Jay Roden 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 Jay Roden was last updated on May 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.