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DR. ALEXANDER ROUSSOS DO
NPI 1700380607
Anesthesiology - Pain Medicine in Sacramento, CA

Active since March 23, 2018PECOS EnrolledAccepts Medicare Assignment
4860 Y ST STE 2700, SACRAMENTO, CA 95817(916) 734-6688(916) 734-6827 Get Directions Write a Review

NPPES record last updated: June 24, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 10, 2022, Mar 23, 2018 (2 updates tracked since 2018).

About Dr. Alexander Roussos Do NPPES

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

DR. ALEXANDER ROUSSOS DO (NPI 1700380607) is an individual pain medicine provider in Sacramento, California, licensed in California (20A19536) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2018).

NPPES Registry Identity

NPI1700380607
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameDR. ALEXANDER ROUSSOSCredential: DO
Location Address4860 Y ST STE 2700Sacramento, CA 95817-2307
Mailing Address4860 Y St Ste 3020Sacramento, CA 95817-2307 · (916) 734-6824 · Fax (916) 734-6827
Phone(916) 734-6688
Fax(916) 734-6827
Sole ProprietorNo
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2018
Enumeration DateMarch 23, 2018
Last NPPES UpdateJune 24, 20222 updates tracked since enumeration
NPPES CertifiedJune 24, 2022
✔ NPI 1700380607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in CA · 20A19536
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 125071691 (IL)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4860 Y ST STE 2700, Sacramento, CA 95817
Open in Google Maps ↗

Other Identifiers 1

Other125071691IL · Illinois Department Of Financial And Professional Regulation

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. Alexander Roussos Do 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 ID8426305210
PECOS Enrollment IDI20230922003577
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 Reassignment

Medicare enrollment records show Alexander Roussos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Regents Of The Univ Of Ca
2.4 mi
Dermatopathology
3301 C ST STE 1413
Sacramento, CA 95816
  • Reassigned Medicare billing, California enrollment
  • 2,570 clinicians in this Medicare group
NPI 1043208945 (916) 734-6373

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.

Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
18 services18 patients
Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
14 services14 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
12 services12 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MATTHEW ANTHONY ROSELLI M.S.W., LCSW
Social Worker (Clinical)
4860 Y ST STE 2700
SACRAMENTO, CA 95817
Sacramento County (916) 734-7246

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 Alexander Roussos's NPI number?

The NPI number for Alexander Roussos is 1700380607. It was assigned to this individual provider in the NPPES registry on March 23, 2018.

Where is Alexander Roussos located?

Alexander Roussos practices at 4860 Y St Ste 2700, Sacramento, CA 95817. The listed phone number is (916) 734-6688.

What is Alexander Roussos's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Alexander Roussos enrolled in Medicare?

Yes. Alexander Roussos 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 Alexander Roussos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexander Roussos reassigns Medicare benefits to Regents Of The Univ Of Ca (Sacramento, 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 Alexander Roussos'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 Alexander Roussos was last updated on June 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.