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

Q: 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.

Q: What is Jay Roden's specialty?

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

Q: 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.

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: November 01, 2026.

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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Jay Roden reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Magella Medical Associates Billing, Inc.

175 mi

Neonatal-Perinatal Medicine

2400 ROUND ROCK AVE
Round Rock, TX 78681

Reassigned Medicare billing, Texas enrollment
432 clinicians in this Medicare group

NPI 1083631071 (512) 341-1000

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

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)