DAVID MICHAEL ROELOFSZ MD
NPI 1154950186
Student in an Organized Health Care Education/Training Program in Kansas City, MO
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, is affiliated with University Of Texas Medical Branch Galveston, and maintains a secondary practice location in Webster.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
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
David Michael Roelofsz Md 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 Reassignment
Medicare enrollment records show David Roelofsz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Galveston, TX 77555
- Reassigned Medicare billing, Texas enrollment
- 2,222 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Texas Medical Branch Galveston
Acute Care Hospitals · Galveston, TXOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KANSAS CITY, MO 64108
KANSAS CITY, MO 64108
KANSAS CITY, MO 64108
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for David Roelofsz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Roelofsz reassigns Medicare benefits to Utmb Faculty Group Practice (Galveston, TX). The 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 David Roelofsz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does David Roelofsz accept?
Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list David Roelofsz 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 David Roelofsz affiliated with any hospitals?
According to CMS data, David Roelofsz is affiliated with University Of Texas Medical Branch Galveston.
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 4 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.
# David Michael Roelofsz, MD · NPI 1154950186
Student in an Organized Health Care Education/Training Program provider in Kansas City, Missouri. Individual provider, active in the CMS NPPES registry since April 2, 2020.
## Identity
- **NPI:** 1154950186 (Entity type: Individual)
- **Enumerated:** April 2, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 2301 HOLMES ST, Kansas City, MO 64108-2640
- **Phone:** (816) 404-1000
## 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:** Utmb Faculty Group Practice (NPI 1942241146, Galveston, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** June 3, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1154950186) · Data from the CMS NPPES public registry.