KEVIN ROLDAN
NPI 1235077421
Student in an Organized Health Care Education/Training Program in Gainesville, FL

Active since March 23, 2026PECOS Enrolled
1147 NW 64TH TER, GAINESVILLE, FL 32605(352) 333-4000 Get Directions Write a Review

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

About Kevin Roldan NPPES

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

KEVIN ROLDAN (NPI 1235077421) is an individual student in an organized health care education/training program in Gainesville, Florida and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235077421
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKEVIN ROLDAN
Location Address1147 NW 64TH TERGainesville, FL 32605-4218
Mailing Address1010 Central Ave Apt 326St Petersburg, FL 33705-6655 · (727) 224-0709
Sole ProprietorNo
Enumeration DateMarch 23, 2026
NPPES CertifiedMarch 22, 2026
NPI 1235077421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1147 NW 64TH TER, Gainesville, FL 32605

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kevin Roldan 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 20

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

Student in an Organized Health Care Education/Training Program
1147 NW 64TH TER
GAINESVILLE, FL 32605
Student in an Organized Health Care Education/Training Program
1147 NW 64TH TER
GAINESVILLE, FL 32605
Student in an Organized Health Care Education/Training Program
1147 NW 64TH TER
GAINESVILLE, FL 32605
Emergency Medicine
1147 NW 64TH TER
GAINESVILLE, FL 32605
Student in an Organized Health Care Education/Training Program
1147 NW 64TH TER
GAINESVILLE, FL 32605
Student in an Organized Health Care Education/Training Program
1147 NW 64TH TER
GAINESVILLE, FL 32605
Student in an Organized Health Care Education/Training Program
1147 NW 64TH TER
GAINESVILLE, FL 32605
Student in an Organized Health Care Education/Training Program
1147 NW 64TH TER
GAINESVILLE, FL 32605

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 Kevin Roldan's NPI number?

The NPI number for Kevin Roldan is 1235077421. It was assigned to this individual provider in the NPPES registry on March 23, 2026.

Where is Kevin Roldan located?

Kevin Roldan practices at 1147 NW 64th Ter, Gainesville, FL 32605. The listed phone number is (352) 333-4000.

What is Kevin Roldan's specialty?

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

Is Kevin Roldan enrolled in Medicare?

Yes. Kevin Roldan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Roldan was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.