DAVID MICHAEL ROELOFSZ MD
NPI 1154950186
Student in an Organized Health Care Education/Training Program in Kansas City, MO

Active since April 02, 2020PECOS Enrolled
2301 HOLMES ST, KANSAS CITY, MO 64108(816) 404-1000 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 3, 2026, Apr 2, 2020 (2 updates tracked since 2020).

About David Michael Roelofsz Md NPPES

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

DAVID MICHAEL ROELOFSZ MD (NPI 1154950186) is an individual student in an organized health care education/training program in Kansas City, Missouri and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Webster, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1154950186
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDAVID MICHAEL ROELOFSZCredential: MD
Location Address2301 HOLMES STKansas City, MO 64108-2640
Mailing Address2301 Holmes StKansas City, MO 64108-2677 · (816) 404-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 2, 2020
Last NPPES UpdateJune 3, 20262 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
NPI 1154950186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License W5947 (TX)
2301 HOLMES ST, Kansas City, MO 64108

Secondary Practice Location 1

Location 1200 Blossom StWebster, TX 77598-4204 · Phone (832) 632-6500 · Fax (409) 772-9532

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

David Michael Roelofsz Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244653376
PECOS Enrollment IDI20260615000954
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 20

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

Dietitian, Registered
2301 HOLMES ST
KANSAS CITY, MO 64108
Nurse Practitioner (Family)
2301 HOLMES ST
KANSAS CITY, MO 64108
Nurse Practitioner (Adult Health)
2301 HOLMES ST
KANSAS CITY, MO 64108
Student in an Organized Health Care Education/Training Program
2301 HOLMES ST
KANSAS CITY, MO 64108
Pharmacist
2301 HOLMES ST
KANSAS CITY, MO 64108
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2301 HOLMES ST
KANSAS CITY, MO 64108
Student in an Organized Health Care Education/Training Program
2301 HOLMES ST
KANSAS CITY, MO 64108
Internal Medicine (Critical Care Medicine)
2301 HOLMES ST
KANSAS CITY, MO 64108

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 David Roelofsz's NPI number?

The NPI number for David Roelofsz is 1154950186. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is David Roelofsz located?

David Roelofsz practices at 2301 Holmes St, Kansas City, MO 64108. The listed phone number is (816) 404-1000.

What is David Roelofsz's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is David Roelofsz enrolled in Medicare?

Yes. David Roelofsz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Roelofsz was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.