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ROSEVILLE ORTHOPEDIC GROUP A MEDICAL CORP
NPI 1962459990
Specialist in Roseville, CA

Active since May 27, 2006
151 N SUNRISE AVE, STE 1005, ROSEVILLE, CA 95661(916) 782-1217(916) 782-7630 Get Directions Write a Review

NPPES record last updated: January 27, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Roseville Orthopedic Group A Medical Corp NPPES

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

ROSEVILLE ORTHOPEDIC GROUP A MEDICAL CORP (NPI 1962459990) is a healthcare organization registered as a specialist in Roseville, California and active in the NPI registry since May 2006. The organization lists Deborah A Butler, Administrator, as its authorized official.

NPPES Registry Identity

NPI1962459990
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameROSEVILLE ORTHOPEDIC GROUP A MEDICAL CORP
Location Address151 N SUNRISE AVE, STE 1005Roseville, CA 95661-2930
Mailing Address151 N Sunrise Ave, Ste 1005Roseville, CA 95661-2924 · (916) 782-1217 · Fax (916) 782-7630
Phone(916) 782-1217
Fax(916) 782-7630
Organization SubpartNo
Authorized OfficialDeborah A ButlerAdministrator · (916) 782-1217
Enumeration DateMay 27, 2006
Last NPPES UpdateJanuary 27, 2023
NPPES CertifiedJanuary 27, 2023
✔ NPI 1962459990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
151 N SUNRISE AVE, Roseville, CA 95661
Open in Google Maps ↗

Other Identifiers 1

OtherZZZ71352ZCA · Medi-cal

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roseville Orthopedic Group A Medical Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Roseville Orthopedic Group A Medical Corp, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

James Eaton, M.S.P.T.
Physical Therapist in Private Practice
NPI 1558457325
151 N SUNRISE AVE STE1003
Roseville, CA 95661
(916) 782-1217
✔ Accepts MedicareSame address
Kevin Hansen, MD
Orthopedic Surgery
NPI 1689661225
151 N SUNRISE AVE SUITE 1005
Roseville, CA 95661
(916) 782-1217
✔ PECOS✔ Accepts Medicare0.2 mi
Thomas Merchant, MD
Orthopedic Surgery
NPI 1437146255
151 N SUNRISE AVE SUITE 1005
Roseville, CA 95661
(916) 782-1217
✔ PECOS0.2 mi
Tyler Smith, M.D.
Orthopedic Surgery
NPI 1386650802
5 MEDICAL PLAZA DR STE 120
Roseville, CA 95661
(916) 352-0016
✔ PECOS✔ Accepts Medicare0.6 mi
Michael Han, M.D.
Orthopedic Surgery
NPI 1144365529
3000 Q ST FL 4
Sacramento, CA 95816
(916) 733-5700
✔ PECOS✔ Accepts Medicare12 mi
Jack Lomba, PT
Physical Therapist in Private Practice
NPI 1013091453
7805 LAGUNE BLVD 300
Elk Grove, CA 95758
(916) 691-5400
✔ Accepts Medicare23 mi
Annie Nguyentat, DPM
Podiatry
NPI 1134486160
701 E EL CAMINO REAL
Mountain View, CA 94040
(650) 934-7090
✔ PECOS✔ Accepts Medicare104 mi

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

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 Roseville Orthopedic Group A Medical Corp's NPI number?

The NPI number for Roseville Orthopedic Group A Medical Corp is 1962459990. It was assigned to this organization in the NPPES registry on May 27, 2006.

Where is Roseville Orthopedic Group A Medical Corp located?

Roseville Orthopedic Group A Medical Corp is located at 151 N Sunrise Ave Ste 1005, Roseville, CA 95661. The listed phone number is (916) 782-1217.

What is Roseville Orthopedic Group A Medical Corp's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Roseville Orthopedic Group A Medical Corp enrolled in Medicare?

Yes. Roseville Orthopedic Group A Medical Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Roseville Orthopedic Group A Medical Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Roseville Orthopedic Group A Medical Corp. A 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 the clinician's services. The largest specialties are Orthopedic Surgery (4), Physical Therapist in Private Practice (2) and Podiatry (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Roseville Orthopedic Group A Medical Corp was last updated on January 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.