DONALD LEWIS ROBACK MD
NPI 1467401240
Radiology - Diagnostic Radiology in Manhattan Beach, CA
About Donald Lewis Roback Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DONALD LEWIS ROBACK MD (NPI 1467401240) is an individual diagnostic radiology provider in Manhattan Beach, California, licensed in California (A22819) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of California, Irvine, California College Of Medicine (1973).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 1
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
Donald Lewis Roback 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 Donald Roback reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90059
- Reassigned Medicare billing, California enrollment
- 554 clinicians in this Medicare group
Los Angeles, CA 90095
- Reassigned Medicare billing, California enrollment
- 240 clinicians in this Medicare group
Glendale, CA 91201
- Reassigned Medicare billing, California enrollment
- 273 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.
Areas of Expertise CMS Part B claims 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90266 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MANHATTAN BEACH, CA 90266
MANHATTAN BEACH, CA 90266
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 Donald Roback's NPI number?
The NPI number for Donald Roback is 1467401240. It was assigned to this individual provider in the NPPES registry on May 9, 2006.
Where is Donald Roback located?
Donald Roback practices at 2200 N Sepulveda Blvd, Manhattan Beach, CA 90266. The listed phone number is (310) 802-0200.
What is Donald Roback's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Donald Roback enrolled in Medicare?
Yes. Donald Roback 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 Donald Roback's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Donald Roback reassigns Medicare benefits to 3 organizations: Martin Luther King Jr Community Medical Foundation (Los Angeles, CA), Ucla Radiology Medical Group (Los Angeles, CA) and Regents Of The University Of California (Glendale, CA). 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 Donald Roback'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 Donald Roback was last updated on December 16, 2019. 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.
# Donald Lewis Roback, MD · NPI 1467401240
Diagnostic Radiology physician in Manhattan Beach, California. Individual provider, active in the CMS NPPES registry since May 9, 2006.
## Identity
- **NPI:** 1467401240 (Entity type: Individual)
- **Enumerated:** May 9, 2006
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** A22819 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2200 N SEPULVEDA BLVD, Manhattan Beach, CA 90266-2910
- **Phone:** (310) 802-0200 · **Fax:** (310) 794-9035
## 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): Martin Luther King Jr Community Medical Foundation (NPI 1356899777, Los Angeles, CA); Ucla Radiology Medical Group (NPI 1881670248, Los Angeles, CA); Regents Of The University Of California (NPI 1891110888, Glendale, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, Irvine, California College Of Medicine, class of 1973
## Record status
- **NPPES last updated:** December 16, 2019
- **Other identifiers:** Medicaid 00A228190 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1467401240) · Data from the CMS NPPES public registry.