JOHN D ROATEN M.D.
NPI 1760619878
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Fort Worth, TX

Q: What is John Roaten's NPI number?

The NPI number for John Roaten is 1760619878. It was assigned to this individual provider in the NPPES registry on June 16, 2009.

Q: What is John Roaten's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

Q: When was this NPI record last updated?

The NPPES record for John Roaten was last updated on August 4, 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.

Active since June 16, 2009PECOS Enrolled

1500 COOPER ST, FORT WORTH, TX 76104(682) 885-4405(682) 885-4407 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 4, 2022, May 11, 2021, Apr 9, 2021 (3 updates tracked since 2021).

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About John D Roaten M.d. NPPES

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

JOHN D ROATEN M.D. (NPI 1760619878) is an individual pediatric orthopaedic surgery provider in Fort Worth, Texas, licensed in Texas (P3807) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760619878

Entity TypeIndividualMale

Primary Taxonomy207XP3100X

Provider Legal NameJOHN D ROATENCredential: M.D.

Location Address1500 COOPER STFort Worth, TX 76104-2710

Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-1855 · Fax (682) 885-1396

Phone(682) 885-4405

Fax(682) 885-4407

Sole ProprietorNo

Enumeration DateJune 16, 2009

Last NPPES UpdateAugust 4, 20223 updates tracked since enumeration

NPPES CertifiedAugust 4, 2022

✔ NPI 1760619878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XP3100X

License✔ Licensed in TX · P3807

Definition

An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.

1500 COOPER ST, Fort Worth, TX 76104

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John D Roaten M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

KATRINA L WILLIE-MUSOMA MD

Pediatrics (Neurodevelopmental Disabilities)