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CAROLE M ROJAS MD
NPI 1265425110
Internal Medicine in Lakewood, OH

Active since August 25, 2005PECOS EnrolledAccepts Medicare Assignment
14601 DETROIT AVE, STE 400, LAKEWOOD, OH 44107(216) 226-8700(216) 221-3171 Get Directions Write a Review

NPPES record last updated: May 9, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carole M Rojas Md NPPES

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

CAROLE M ROJAS MD (NPI 1265425110) is an individual internal medicine provider in Lakewood, Ohio, licensed in Ohio (35074805R) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Fairview Hospital, and is a graduate of University Of Michigan Medical School (1996).

NPPES Registry Identity

NPI1265425110
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameCAROLE M ROJASCredential: MD
Location Address14601 DETROIT AVE, STE 400Lakewood, OH 44107-4214
Mailing Address14601 Detroit Ave, Ste 400Lakewood, OH 44107-4214 · (216) 226-8700 · Fax (216) 221-3171
Phone(216) 226-8700
Fax(216) 221-3171
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1996
Enumeration DateAugust 25, 2005
Last NPPES UpdateMay 9, 2008
✔ NPI 1265425110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35074805R
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
14601 DETROIT AVE, Lakewood, OH 44107
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Other Identifiers 4

OtherCA4511Rr Medicare Group
Medicare PIN4029816OH
Medicaid2229878OH
Medicare UPINH21794

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare and more.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

Carole M Rojas 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.

PECOS PAC ID2062461817
PECOS Enrollment IDI20050119000280
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.

Areas of Expertise CMS Part B claims 7

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
245 services131 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
136 services46 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
108 services108 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
49 services46 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
30 services28 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
25 services21 patients

Hospital Affiliations CMS Care Compare 4

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

Fairview Hospital

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360077
Location18101 Lorain AvenueCleveland, OH 44111 · Cuyahoga County
Emergency services Birthing friendly

Lutheran Hospital

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360087
Location1730 West 25th StreetCleveland, OH 44113 · Cuyahoga County
Emergency services

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Cleveland Clinic Avon Hospital

Acute Care Hospitals · Avon, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360364
Location33300 Cleveland Clinic BlvdAvon, OH 44011 · Lorain County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44107 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%189 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%167 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers23 claims54 services$5.32 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$215.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JULIA LACOMB DO
Student in an Organized Health Care Education/Training Program
14601 DETROIT AVE
LAKEWOOD, OH 44107
Cuyahoga County (216) 237-5500
DR. NAZIH M ZEIN M.D.
Internal Medicine (Rheumatology)
14601 DETROIT AVE, 590
LAKEWOOD, OH 44107
Cuyahoga County (216) 529-7098
ARTHUR PETER DICK MD
Psychiatry & Neurology (Neurology)
14601 DETROIT AVE, SUITE 480
LAKEWOOD, OH 44107
Cuyahoga County (216) 529-7090
MARY ANN SANTUCCI MD
Student in an Organized Health Care Education/Training Program
14601 DETROIT AVE
LAKEWOOD, OH 44107
Cuyahoga County (216) 237-5500
DR. HAREENDRA G. ADHVARYU M.D.
Psychiatry & Neurology (Psychiatry)
14601 DETROIT AVE, SUITE 690
LAKEWOOD, OH 44107
Cuyahoga County (216) 529-2359
DR. MARIA ROLLINGER DO
Student in an Organized Health Care Education/Training Program
14601 DETROIT AVE
LAKEWOOD, OH 44107
Cuyahoga County (216) 237-5500
MRS. CHRISTINE ANN DEARTH CNP
Nurse Practitioner
14601 DETROIT AVE, SUITE 540
LAKEWOOD, OH 44107
Cuyahoga County (216) 529-5300
WHIT RYAN PSYD
Psychologist (Clinical Child & Adolescent)
14601 DETROIT AVE
LAKEWOOD, OH 44107
Cuyahoga County (216) 237-5500

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 Carole Rojas's NPI number?

The NPI number for Carole Rojas is 1265425110. It was assigned to this individual provider in the NPPES registry on August 25, 2005.

Where is Carole Rojas located?

Carole Rojas practices at 14601 Detroit Ave Ste 400, Lakewood, OH 44107. The listed phone number is (216) 226-8700.

What is Carole Rojas's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Carole Rojas enrolled in Medicare?

Yes. Carole Rojas 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 Carole Rojas accept?

Health plans from CareSource, MedMutual, Molina Healthcare, Oscar Insurance Corporation of Ohio and UnitedHealthcare list Carole Rojas 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 Carole Rojas affiliated with any hospitals?

According to CMS data, Carole Rojas is affiliated with Fairview Hospital, Lutheran Hospital, Cleveland Clinic and Cleveland Clinic Avon Hospital.

When was this NPI record last updated?

The NPPES record for Carole Rojas was last updated on May 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.