WALTER THOMAS ROSCHEK III
NPI 1245911429
Nurse Anesthetist, Certified Registered in San Diego, CA

Active since July 31, 2023Accepts Medicare Assignment
200 W ARBOR DR, SAN DIEGO, CA 92103(800) 926-8273(888) 539-8781 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 30, 2023, Oct 10, 2023 (2 updates tracked since 2023).

About Walter Thomas Roschek Iii NPPES

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

WALTER THOMAS ROSCHEK III (NPI 1245911429) is an individual nurse anesthetist, certified registered in San Diego, California, licensed in California (95002215) and active in the NPI registry since July 2023. He maintains a secondary practice location in Bakersfield and is a graduate of Other (2023).

NPPES Registry Identity

NPI1245911429
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameWALTER THOMAS ROSCHEK III
Location Address200 W ARBOR DRSan Diego, CA 92103-9000
Mailing AddressPo Box 232410San Diego, CA 92193-2410 · (800) 926-8273
Fax(888) 539-8781
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 31, 2023
Last NPPES UpdateOctober 30, 20232 updates tracked since enumeration
NPPES CertifiedOctober 30, 2023
✔ NPI 1245911429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in CA · 95002215
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 95137458 (CA)
200 W ARBOR DR, San Diego, CA 92103

Secondary Practice Location 1

Location 11700 Mount Vernon AveBakersfield, CA 93306-4018 · Phone (661) 326-2000

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

Walter Thomas Roschek Iii 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 ID4789030941
PECOS Enrollment IDI20231024001709

Medicare Billing Reassignments

10

Medicare enrollment records show Walter Roschek reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Anesthetist, Certified Registered
9850 GENESEE AVE, SUITE 980
La Jolla, CA 92037
  • Reassigned Medicare billing, California enrollment
  • 27 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
835 THIRD AVE STE A
Chula Vista, CA 91911
  • Reassigned Medicare billing, California enrollment
  • 43 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
488 E VALLEY PKWY STE 110
Escondido, CA 92025
  • Reassigned Medicare billing, California enrollment
  • 33 clinicians in this Medicare group
Anesthesiology
28062 BAXTER RD
Murrieta, CA 92563
  • Reassigned Medicare billing, California enrollment
  • 137 clinicians in this Medicare group
Anesthesiology
207 W LEGION RD
Brawley, CA 92227
  • Reassigned Medicare billing, California enrollment
  • 33 clinicians in this Medicare group
Anesthesiology
1300 N VERMONT AVE
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • 86 clinicians in this Medicare group
Anesthesiology
1700 MOUNT VERNON AVE
Bakersfield, CA 93306
  • Reassigned Medicare billing, California enrollment
  • 96 clinicians in this Medicare group
Anesthesiology
2215 TRUXTUN AVE
Bakersfield, CA 93301
  • Reassigned Medicare billing, California enrollment
  • 56 clinicians in this Medicare group
Anesthesiology
420 34TH ST
Bakersfield, CA 93301
  • Reassigned Medicare billing, California enrollment
  • 183 clinicians in this Medicare group
Orthopaedic Surgery
2151 HERNDON AVE STE 105
Fresno, CA 93611
  • Reassigned Medicare billing, California enrollment
  • 508 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Internal Medicine (Geriatric Medicine)
200 W ARBOR DR
SAN DIEGO, CA 92103
Hospice, Inpatient
200 W ARBOR DR
SAN DIEGO, CA 92103
Anesthesiology
200 W ARBOR DR
SAN DIEGO, CA 92103
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
Internal Medicine (Infectious Disease)
200 W ARBOR DR
SAN DIEGO, CA 92103
Nurse Practitioner (Psychiatric/Mental Health)
200 W ARBOR DR
SAN DIEGO, CA 92103
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR
SAN DIEGO, CA 92103

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 Walter Roschek's NPI number?

The NPI number for Walter Roschek is 1245911429. It was assigned to this individual provider in the NPPES registry on July 31, 2023.

Where is Walter Roschek located?

Walter Roschek practices at 200 W Arbor Dr, San Diego, CA 92103. The listed phone number is (800) 926-8273.

What is Walter Roschek's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Walter Roschek enrolled in Medicare?

Yes. Walter Roschek 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 organizations bill Medicare for Walter Roschek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Walter Roschek reassigns Medicare benefits to 10 organizations: La Jolla Anesthesia Associates LP (La Jolla, CA), Samantha Polikowski Anesthesia Inc (Chula Vista, CA), Escondido Anesthesia Associates LP (Escondido, CA), Sound Physicians Anesthesiology Of California PC (Murrieta, CA), Anesthesia Medical Group Of Imperial Valley, Inc. (Brawley, CA) and 5 more organizations, listed in the Medicare section above. Each 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 Walter Roschek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Walter Roschek was last updated on October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.