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HENRY M. ROQUE MD
NPI 1821176595
Internal Medicine in San Bruno, CA

Active since November 01, 2006PECOS Enrolled
1100 GRUNDY LN, SAN BRUNO, CA 94066(650) 227-1150(650) 653-2510 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 4, 2024, Dec 11, 2019 (2 updates tracked since 2019).

About Henry M. Roque Md NPPES

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

HENRY M. ROQUE MD (NPI 1821176595) is an individual internal medicine provider in San Bruno, California, licensed in California (A63722) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821176595
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameHENRY M. ROQUECredential: MD
Location Address1100 GRUNDY LNSan Bruno, CA 94066-3065
Mailing Address1100 Grundy LnSan Bruno, CA 94066-3065 · (650) 653-2510 · Fax (650) 653-2510
Phone(650) 227-1150
Fax(650) 653-2510
Sole ProprietorNo
Enumeration DateNovember 1, 2006
Last NPPES UpdateJune 4, 20242 updates tracked since enumeration
NPPES CertifiedJune 4, 2024
✔ NPI 1821176595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A63722
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1100 GRUNDY LN, San Bruno, CA 94066
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Henry M. Roque Md 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.

Medicare Billing Reassignment

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

Permanente Medical Group Inc
11 mi
Internal Medicine
2238 GEARY
San Francisco, CA 94116
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1841373800 (415) 833-2200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94066 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
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 3

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

ONE MEDICAL GROUP, INC.
Family Medicine
1100 GRUNDY LN
SAN BRUNO, CA 94066
San Mateo County (650) 227-7890
PREMISE HEALTH OF CALIFORNIA MEDICAL PC
Clinic/Center (Multi-Specialty)
1100 GRUNDY LN
SAN BRUNO, CA 94066
San Mateo County (650) 262-1307
MR. MARIO ALBERTO SANDOVAL
Psychologist (Clinical)
1100 GRUNDY LN
SAN BRUNO, CA 94066
San Mateo County (888) 201-1937

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 Henry Roque's NPI number?

The NPI number for Henry Roque is 1821176595. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Henry Roque located?

Henry Roque practices at 1100 Grundy Ln, San Bruno, CA 94066. The listed phone number is (650) 227-1150.

What is Henry Roque's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Henry Roque enrolled in Medicare?

Yes. Henry Roque is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Henry Roque's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Henry Roque reassigns Medicare benefits to Permanente Medical Group Inc (San Francisco, 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 Henry Roque'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 Henry Roque was last updated on June 4, 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.