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MOHAMMAD ROOSTAN
NPI 1417480534
Hospitalist in Santa Rosa, CA

Active since April 05, 2017PECOS EnrolledAccepts Medicare Assignment
97.83/100
CMS Quality Rating
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403(707) 393-4000(503) 681-1939 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Apr 17, 2024, Aug 1, 2022, Feb 24, 2022 (3 updates tracked since 2022).

About Mohammad Roostan NPPES

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

MOHAMMAD ROOSTAN (NPI 1417480534) is an individual hospitalist provider in Santa Rosa, California, licensed in Oregon (MD211827) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Kaiser Sunnyside Medical Center, and is a graduate of New York Medical College (2017).

NPPES Registry Identity

NPI1417480534
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameMOHAMMAD ROOSTAN
Location Address401 BICENTENNIAL WAYSanta Rosa, CA 95403-2149
Mailing Address1234 Sw 18th AvePortland, OR 97205-1752 · (503) 681-1050 · Fax (503) 681-1939
Phone(707) 393-4000
Fax(503) 681-1939
Sole ProprietorYes
Medical School CMSNew York Medical CollegeGraduated 2017
Enumeration DateApril 5, 2017
Last NPPES UpdateApril 17, 20243 updates tracked since enumeration
NPPES CertifiedApril 17, 2024
✔ NPI 1417480534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in OR · MD211827✔ Licensed in CA · A159854
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License A159854 (CA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
401 BICENTENNIAL WAY, Santa Rosa, CA 95403
Open in Google Maps ↗

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

Mohammad Roostan 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 ID3577989474
PECOS Enrollment IDI20220808002490
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.

Hospital Affiliations CMS Care Compare 2

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

Kaiser Sunnyside Medical Center

Acute Care Hospitals · Clackamas, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380091
Location10180 SE Sunnyside RoadClackamas, OR 97015 · Clackamas County
Emergency services Birthing friendly

Kaiser Foundation Hospital Westside

Acute Care Hospitals · Hillsboro, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380103
Location2875 NW Stucki AveHillsboro, OR 97124 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95403 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
$142.00 typical visit price
range $63.04 – $187.01
Typical copayment $35.50 (range $15.76 – $46.75)
Most-billed visit code 99204
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
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.

97.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.97
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$41.26 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.

MS. JESSICA ANNE RUTLAND R.D.
Dietitian, Registered
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Sonoma County (707) 393-4787
KURT FALKENBERG P.T.
Physical Therapist
401 BICENTENNIAL WAY, EAST BUILDING, SUITE 190
SANTA ROSA, CA 95403
Sonoma County (707) 571-3352
DELILAH PATTERSON CRNA
Nurse Anesthetist, Certified Registered
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Sonoma County (707) 393-4616
KRISZTINA J. BALAZS MD
Pediatrics
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Sonoma County (707) 571-4000
JOHN F. KUNKEL MD
Pathology (Anatomic Pathology)
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Sonoma County (707) 571-4000
CRISTINA COREY SCHROEN LCSW
Social Worker (Clinical)
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Sonoma County (707) 571-2536
JIE GIOK RAHARDJA PHARMD
Pharmacist
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Sonoma County (707) 393-4652
CONOR WILLIAM BOWMAN PHARM.D.
Pharmacist
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Sonoma County (818) 522-1238

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 Mohammad Roostan's NPI number?

The NPI number for Mohammad Roostan is 1417480534. It was assigned to this individual provider in the NPPES registry on April 5, 2017.

Where is Mohammad Roostan located?

Mohammad Roostan practices at 401 Bicentennial Way, Santa Rosa, CA 95403. The listed phone number is (707) 393-4000.

What is Mohammad Roostan's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Mohammad Roostan enrolled in Medicare?

Yes. Mohammad Roostan 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.

Is Mohammad Roostan affiliated with any hospitals?

According to CMS data, Mohammad Roostan is affiliated with Kaiser Sunnyside Medical Center and Kaiser Foundation Hospital Westside.

When was this NPI record last updated?

The NPPES record for Mohammad Roostan was last updated on April 17, 2024. 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.