ROGER TATARIAN
NPI 1710431309
Nurse Anesthetist, Certified Registered in Appleton, WI

Active since August 11, 2016PECOS EnrolledAccepts Medicare Assignment
1818 N MEADE ST, APPLETON, WI 54911(920) 731-4101 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 24, 2023, Apr 7, 2022, Dec 13, 2021 and 2 more (5 updates tracked since 2016).

About Roger Tatarian NPPES

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

ROGER TATARIAN (NPI 1710431309) is an individual nurse anesthetist, certified registered in Appleton, Wisconsin, licensed in Wisconsin (200090-30) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Medical Center - Appleton Inc, and maintains a secondary practice location in Green Bay.

NPPES Registry Identity

NPI1710431309
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameROGER TATARIAN
Location Address1818 N MEADE STAppleton, WI 54911-3454
Mailing Address203 Desplaine RdDe Pere, WI 54115-3726
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 11, 2016
Last NPPES UpdateJanuary 23, 20245 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2024
✔ NPI 1710431309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in WI · 200090-30
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1818 N MEADE ST, Appleton, WI 54911

Secondary Practice Location 1

Location 12845 Greenbrier RdGreen Bay, WI 54311-6519 · Phone (920) 288-3388 · Fax (920) 288-3370

Accepted 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

Roger Tatarian 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 ID8729366083
PECOS Enrollment IDI20161021000353
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

2

Medicare enrollment records show Roger Tatarian reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
130 2ND ST, STE. A107
Neenah, WI 54956
  • Reassigned Medicare billing, Wisconsin enrollment
  • 144 clinicians in this Medicare group
Emergency Medicine
2845 GREENBRIER RD
Green Bay, WI 54311
  • Reassigned Medicare billing, Wisconsin enrollment
  • 275 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

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.

Anesthesia for other closed procedure on chest 00520
Anesthesia for a closed chest procedure involves the use of medications to block sensation, ensuring you don't feel pain during the procedure. It can be general (you're asleep) or regional (part of your body is numbed). This helps maintain comfort and safety.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520160
Location1818 N Meade StAppleton, WI 54911 · Outagamie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54911 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Physical Therapy Assistant
1818 N MEADE ST
APPLETON, WI 54911
Physician Assistant
1818 N MEADE ST
APPLETON, WI 54911
Nurse Practitioner
1818 N MEADE ST
APPLETON, WI 54911
Nurse Practitioner
1818 N MEADE ST
APPLETON, WI 54911
Specialist/Technologist, Other (Surgical Assistant)
1818 N MEADE ST
APPLETON, WI 54911
Physical Therapist
1818 N MEADE ST
APPLETON, WI 54911
Surgery
1818 N MEADE ST, STE 240- WEST
APPLETON, WI 54911
Hospitalist
1818 N MEADE ST
APPLETON, WI 54911

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 Roger Tatarian's NPI number?

The NPI number for Roger Tatarian is 1710431309. It was assigned to this individual provider in the NPPES registry on August 11, 2016.

Where is Roger Tatarian located?

Roger Tatarian practices at 1818 N Meade St, Appleton, WI 54911. The listed phone number is (920) 731-4101.

What is Roger Tatarian's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Roger Tatarian enrolled in Medicare?

Yes. Roger Tatarian 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 Roger Tatarian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roger Tatarian reassigns Medicare benefits to 2 organizations: Association Of Hospital Anesthesiologists Sc (Neenah, WI) and Baycare Clinic LLP (Green Bay, WI). 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 Roger Tatarian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roger Tatarian accept?

Health plans from CareSource (Common Ground Healthcare) list Roger Tatarian 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 Roger Tatarian affiliated with any hospitals?

According to CMS data, Roger Tatarian is affiliated with Thedacare Regional Medical Center - Appleton Inc.

When was this NPI record last updated?

The NPPES record for Roger Tatarian was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.