KYLE D. ROLLER MD
NPI 1295297810
Psychiatry & Neurology - Psychiatry in Salt Lake City, UT
About Kyle D. Roller Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYLE D. ROLLER MD (NPI 1295297810) is an individual psychiatry provider in Salt Lake City, Utah, licensed in Utah (11898897-1205) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (2023).
NPPES Registry Identity
Specialties & Licenses
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
Kyle D. Roller 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 Reassignments
3Medicare enrollment records show Kyle Roller reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sweet Home, OR 97386
- Reassigned Medicare billing, Oregon enrollment
- 416 clinicians in this Medicare group
Albany, OR 97322
- Reassigned Medicare billing, Oregon enrollment
- 432 clinicians in this Medicare group
Albany, OR 97321
- Reassigned Medicare billing, Oregon enrollment
- 522 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 84108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SALT LAKE CITY, UT 84108
SALT LAKE CITY, UT 84108
SALT LAKE CITY, UT 84108
SALT LAKE CITY, UT 84108
SALT LAKE CITY, UT 84108
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 Kyle Roller's NPI number?
The NPI number for Kyle Roller is 1295297810. It was assigned to this individual provider in the NPPES registry on April 2, 2019.
Where is Kyle Roller located?
Kyle Roller practices at 501 S Chipeta Way, Salt Lake City, UT 84108. The listed phone number is (801) 581-4096.
What is Kyle Roller's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Kyle Roller enrolled in Medicare?
Yes. Kyle Roller 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 Kyle Roller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Roller reassigns Medicare benefits to 3 organizations: Mid-Valley Healthcare, Inc. (Sweet Home, OR), Albany General Hospital (Albany, OR) and Good Samaritan Hospital Corvallis (Albany, OR). 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 Kyle Roller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kyle Roller accept?
Health plans from Moda Health Plan, Inc., Select Health and University of Utah Health Plans list Kyle Roller 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.
When was this NPI record last updated?
The NPPES record for Kyle Roller was last updated on August 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Kyle D. Roller, MD · NPI 1295297810
Psychiatry physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since April 2, 2019.
## Identity
- **NPI:** 1295297810 (Entity type: Individual)
- **Enumerated:** April 2, 2019
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 11898897-1205 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 501 S CHIPETA WAY, Salt Lake City, UT 84108-1222
- **Phone:** (801) 581-4096
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Mid-Valley Healthcare, Inc. (NPI 1528334125, Sweet Home, OR); Albany General Hospital (NPI 1851628648, Albany, OR); Good Samaritan Hospital Corvallis (NPI 1023376654, Albany, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Utah School Of Medicine, class of 2023
## Record status
- **NPPES last updated:** August 21, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1295297810) · Data from the CMS NPPES public registry.