TYLER ROUBIDOUX
NPI 1609133800
Anesthesiology in Spokane, WA
About Tyler Roubidoux NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYLER ROUBIDOUX (NPI 1609133800) is an individual anesthesiology provider in Spokane, Washington, licensed in California (A127481) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2008).
NPPES Registry Identity
Specialties & Licenses 2
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
Tyler Roubidoux 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 Reassignment
Medicare enrollment records show Tyler Roubidoux reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Monica, CA 90404
- Reassigned Medicare billing, California enrollment
- 83 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 3
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.
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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tyler Roubidoux's NPI number?
The NPI number for Tyler Roubidoux is 1609133800. It was assigned to this individual provider in the NPPES registry on April 12, 2012.
Where is Tyler Roubidoux located?
Tyler Roubidoux practices at 101 W 8th Ave, Spokane, WA 99204. The listed phone number is (509) 474-3020.
What is Tyler Roubidoux's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Tyler Roubidoux enrolled in Medicare?
Yes. Tyler Roubidoux 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 organization bills Medicare for Tyler Roubidoux's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Roubidoux reassigns Medicare benefits to Bayside Anesthesia Medical Group (Santa Monica, CA). The 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 Tyler Roubidoux'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 Tyler Roubidoux was last updated on August 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Tyler Roubidoux · NPI 1609133800
Anesthesiology physician in Spokane, Washington. Individual provider, active in the CMS NPPES registry since April 12, 2012.
## Identity
- **NPI:** 1609133800 (Entity type: Individual)
- **Enumerated:** April 12, 2012
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** A127481 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 101 W 8TH AVE, Spokane, WA 99204-2307
- **Phone:** (509) 474-3020
## 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:** Bayside Anesthesia Medical Group (NPI 1184668469, Santa Monica, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Loma Linda University School Of Medicine, class of 2008
## Record status
- **NPPES last updated:** August 8, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1609133800) · Data from the CMS NPPES public registry.