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DR. PEDRO ROCA M.D.
NPI 1427059278
Obstetrics & Gynecology in Toledo, OH

Active since August 02, 2005PECOS EnrolledAccepts Medicare Assignment
2142 N COVE BLVD, TOLEDO, OH 43606(419) 291-3604 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 7, 2026, Dec 2, 2024, Nov 7, 2024 and 3 more (6 updates tracked since 2019).

About Dr. Pedro Roca M.d. NPPES

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

DR. PEDRO ROCA M.D. (NPI 1427059278) is an individual obstetrics & gynecology provider in Toledo, Ohio, licensed in Ohio (35.087574) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1427059278
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. PEDRO ROCACredential: M.D.
Location Address2142 N COVE BLVDToledo, OH 43606-3895
Mailing Address13151 Iyopawa Island RdColdwater, MI 49036-9038 · (419) 944-1331
Phone(419) 291-3604
Sole ProprietorNo
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 1992
Enumeration DateAugust 2, 2005
Last NPPES UpdateApril 7, 20266 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1427059278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in OH · 35.087574✔ Licensed in PA · MD438948
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedObstetrics & Gynecology · Maternal & Fetal MedicineTaxonomy 207VM0101X · License 01092206A (IN)
2142 N COVE BLVD, Toledo, OH 43606
Open in Google Maps ↗

Secondary Practice Locations 2

Location 111123 Parkview Plaza Dr Ste 204Fort Wayne, IN 46845-1707 · Phone (260) 266-8380 · Fax (260) 266-8385
Location 23533 Southern Blvd Ste 3750Kettering, OH 45429-1268 · Phone (937) 610-3220 · Fax (937) 610-3225

Other Identifiers 4

Medicaid2658708OH
Medicaid4883266MI
Medicaid8911721NC
Medicaid300088361IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Cigna Healthcare and more.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

Dr. Pedro Roca M.d. 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 ID9133122856
PECOS Enrollment IDI20240314000197
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.

Medicare Billing Reassignments

7

Medicare enrollment records show Pedro Roca reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Toledo Hospital
Same address
General Acute Care Hospital
2142 N COVE BLVD
Toledo, OH 43606
  • Reassigned Medicare billing, Ohio enrollment
  • 375 clinicians in this Medicare group
NPI 1407854771 (419) 593-0214
Promedica Central Physicians
3.6 mi
Family Medicine
100 MADISON AVE, MSC-S38805
Toledo, OH 43604
  • Reassigned Medicare billing, Ohio enrollment
  • 1,072 clinicians in this Medicare group
NPI 1043270150 (567) 585-1964
Parkview Health System Inc
85 mi
Family Medicine
3909 NEW VISION DR
Fort Wayne, IN 46845
  • Reassigned Medicare billing, Indiana enrollment
  • 1,752 clinicians in this Medicare group
NPI 1932130952 (260) 469-6602
Saint Joseph Regional Medical Center, Inc.
132 mi
Family Medicine
60101 BODNAR BLVD STE 100B
Mishawaka, IN 46544
  • Reassigned Medicare billing, Indiana enrollment
  • 205 clinicians in this Medicare group
NPI 1467406074 (574) 335-8500
Kettering Independent Medical Group Inc
145 mi
Orthopaedic Surgery
1 PRESTIGE PL, SUITE 910
Miamisburg, OH 45342
  • Reassigned Medicare billing, Ohio enrollment
  • 984 clinicians in this Medicare group
NPI 1629387865 (937) 762-1629
Sisters Of Charity Hospital Of Buffalo New York
258 mi
Obstetrics & Gynecology
2157 MAIN ST
Buffalo, NY 14214
  • Reassigned Medicare billing, New York enrollment
  • 515 clinicians in this Medicare group
NPI 1568090660 (716) 862-1000
Phoebe Dorminy Family Care
688 mi
Clinic/Center
110 NORMAN DORMINY DR
Fitzgerald, GA 31750
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Phoebe Physician Group Inc
  • 1,118 clinicians in this Medicare group
NPI 1992084644 (229) 312-5800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43606 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
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

ERICA DEVRIES MD
Pediatrics
2142 N COVE BLVD, 5-NORTH PEDIATRICS
TOLEDO, OH 43606
Lucas County (419) 291-4000
PROMEDICA CENTRAL PHYSICIANS LLC
Hospitalist
2142 N COVE BLVD
TOLEDO, OH 43606
Lucas County (419) 291-4000
LYNDSAY BRENTLINGER CRNA
Nurse Anesthetist, Certified Registered
2142 N COVE BLVD
TOLEDO, OH 43606
Lucas County (419) 531-8808
NICHOLAS ANTHONY SCOTT MD
Emergency Medicine
2142 N COVE BLVD
TOLEDO, OH 43606
Lucas County (419) 291-4000
DAVID HAYDEN
Pharmacy Technician
2142 N COVE BLVD
TOLEDO, OH 43606
Lucas County (419) 291-4000
MUHAMMAD RIZWAN FAISAL M.D.
Internal Medicine
2142 N COVE BLVD
TOLEDO, OH 43606
Lucas County (419) 291-1111
KAREN CAPUTO NP
Nurse Practitioner
2142 N COVE BLVD
TOLEDO, OH 43606
Lucas County (419) 291-4101
PROMEDICA CONTINUING CARE SERVICES CORP.
Durable Medical Equipment & Medical Supplies
2142 N COVE BLVD, SUITE 100
TOLEDO, OH 43606
Lucas County (419) 291-6840

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 Pedro Roca's NPI number?

The NPI number for Pedro Roca is 1427059278. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Pedro Roca located?

Pedro Roca practices at 2142 N Cove Blvd, Toledo, OH 43606. The listed phone number is (419) 291-3604.

What is Pedro Roca's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Pedro Roca enrolled in Medicare?

Yes. Pedro Roca 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 Pedro Roca's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pedro Roca reassigns Medicare benefits to 7 organizations: The Toledo Hospital (Toledo, OH), Promedica Central Physicians (Toledo, OH), Parkview Health System Inc (Fort Wayne, IN), Saint Joseph Regional Medical Center, Inc. (Mishawaka, IN), Kettering Independent Medical Group Inc (Miamisburg, OH) and 2 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 Pedro Roca's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pedro Roca accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Cigna Healthcare, Molina Healthcare and Priority Health list Pedro Roca 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 Pedro Roca affiliated with any hospitals?

According to CMS data, Pedro Roca is affiliated with Parkview Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Pedro Roca was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.