JONATHON R ROULLARD CAA
NPI 1124556261
Anesthesiologist Assistant in Carmel, IN

Active since June 02, 2017Accepts Medicare Assignment
80.97/100
CMS Quality Rating
11700 N MERIDIAN ST, CARMEL, IN 46032(317) 577-4200 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 3, 2024, Aug 8, 2024, Apr 24, 2024 and 2 more (5 updates tracked since 2017).

About Jonathon R Roullard Caa NPPES

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

JONATHON R ROULLARD CAA (NPI 1124556261) is an individual anesthesiologist assistant in Carmel, Indiana, licensed in Indiana (75000146A) and active in the NPI registry since June 2017. He is affiliated with Morton Plant Hospital, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1124556261
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameJONATHON R ROULLARDCredential: CAA
Location Address11700 N MERIDIAN STCarmel, IN 46032-4656
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 2, 2017
Last NPPES UpdateDecember 3, 20245 updates tracked since enumeration
NPPES CertifiedDecember 3, 2024
NPI 1124556261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
Licenses Licensed in IN · 75000146A Licensed · 23865827
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
11700 N MERIDIAN ST, Carmel, IN 46032

Secondary Practice Locations 2

Location 18900 N Kendall DrMiami, FL 33176-2118 · Phone (614) 599-0171
Location 21701 N Senate BlvdIndianapolis, IN 46202-1239 · Phone (317) 962-8880

Other Identifiers 2

Other23865827Nccaa
Other1101755112IN · Anthem Ptan

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jonathon R Roullard Caa 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 ID8022363712
PECOS Enrollment IDI20180620003404

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
44 services43 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
26 services26 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Morton Plant Hospital

Acute Care Hospitals · Clearwater, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100127
Location300 Pinellas StClearwater, FL 33756 · Pinellas County
Emergency services Birthing friendly

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.

80.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.4
Improvement Activities40
Cost100

Reported Quality Measures

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)
Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…
90%108 patients4/55-star benchmark: 100%
Pre-operative OSA assessment
Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)
99%322 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Pharmacy (Community/Retail Pharmacy)
11700 N MERIDIAN ST, SUITE B106
CARMEL, IN 46032
Pharmacist
11700 N MERIDIAN ST
CARMEL, IN 46032
Emergency Medicine
11700 N MERIDIAN ST
CARMEL, IN 46032
Radiology (Diagnostic Radiology)
11700 N MERIDIAN ST
CARMEL, IN 46032
Registered Nurse (Medical-Surgical)
11700 N MERIDIAN ST
CARMEL, IN 46032
Pediatrics (Neonatal-Perinatal Medicine)
11700 N MERIDIAN ST
CARMEL, IN 46032
Anesthesiology
11700 N MERIDIAN ST
CARMEL, IN 46032
Physician Assistant
11700 N MERIDIAN ST
CARMEL, IN 46032

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 Jonathon Roullard's NPI number?

The NPI number for Jonathon Roullard is 1124556261. It was assigned to this individual provider in the NPPES registry on June 2, 2017.

Where is Jonathon Roullard located?

Jonathon Roullard practices at 11700 N Meridian St, Carmel, IN 46032. The listed phone number is (317) 577-4200.

What is Jonathon Roullard's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Jonathon Roullard enrolled in Medicare?

Yes. Jonathon Roullard 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.

What insurance does Jonathon Roullard accept?

Health plans from CareSource list Jonathon Roullard 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.

Is Jonathon Roullard affiliated with any hospitals?

According to CMS data, Jonathon Roullard is affiliated with Morton Plant Hospital.

When was this NPI record last updated?

The NPPES record for Jonathon Roullard was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.