KENNETH PAUL ROUILLARD M.D.
NPI 1699885806
Pediatrics - Pediatric Cardiology in Palo Alto, CA
About Kenneth Paul Rouillard M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH PAUL ROUILLARD M.D. (NPI 1699885806) is an individual pediatric cardiology provider in Palo Alto, California, licensed in California (G81455) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Stanford University School Of Medicine (1992).
NPPES Registry Identity
Specialties & Licenses
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
Kenneth Paul Rouillard 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.
Medicare Billing Reassignments
3Medicare enrollment records show Kenneth Rouillard reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Palo Alto, CA 94304
- Reassigned Medicare billing, California enrollment
- 3,617 clinicians in this Medicare group
Modesto, CA 95350
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Valley Childrens Medical Group
- 387 clinicians in this Medicare group
Madera, CA 93636
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Valley Childrens Specialty Medical Group Inc
- 63 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.
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.
Reported Quality Measures
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 Kenneth Rouillard's NPI number?
The NPI number for Kenneth Rouillard is 1699885806. It was assigned to this individual provider in the NPPES registry on August 30, 2006.
Where is Kenneth Rouillard located?
Kenneth Rouillard practices at 725 Welch Rd, Palo Alto, CA 94304. The listed phone number is (650) 497-8000.
What is Kenneth Rouillard's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.
Is Kenneth Rouillard enrolled in Medicare?
Yes. Kenneth Rouillard 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 Kenneth Rouillard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Rouillard reassigns Medicare benefits to 3 organizations: Lpch Medical Group Div Of Lucile (Palo Alto, CA), Valley Children's Medical Group (Modesto, CA) and Valley Children's Specialty Medical Group, Inc. (Madera, 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 Kenneth Rouillard'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 Kenneth Rouillard was last updated on May 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Kenneth Paul Rouillard, M.D. · NPI 1699885806
Pediatric Cardiology physician in Palo Alto, California. Individual provider, active in the CMS NPPES registry since August 30, 2006.
## Identity
- **NPI:** 1699885806 (Entity type: Individual)
- **Enumerated:** August 30, 2006
- **Primary specialty:** Pediatrics - Pediatric Cardiology · taxonomy 2080P0202X
- **State license:** G81455 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 725 WELCH RD, Palo Alto, CA 94304-1601
- **Phone:** (650) 497-8000
## 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): Lpch Medical Group Div Of Lucile (NPI 1417907940, Palo Alto, CA); Valley Children's Medical Group (NPI 1437555265, Modesto, CA); Valley Children's Specialty Medical Group, Inc. (NPI 1013968296, Madera, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Stanford University School Of Medicine, class of 1992
## Record status
- **NPPES last updated:** May 3, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1699885806) · Data from the CMS NPPES public registry.