GRACE ROH
NPI 1992127005
Dentist in Fresno, CA
About Grace Roh NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACE ROH (NPI 1992127005) is an individual dentist in Fresno, California, licensed in California (62989) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Grace Roh is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Grace Roh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90031
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: St. John's Community Health
- 404 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 93704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Grace Roh's NPI number?
The NPI number for Grace Roh is 1992127005. It was assigned to this individual provider in the NPPES registry on January 8, 2014.
Where is Grace Roh located?
Grace Roh practices at 501 W Sierra Ave Apt 219, Fresno, CA 93704. The listed phone number is (951) 202-4729.
What is Grace Roh's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Grace Roh enrolled in Medicare?
Yes. Grace Roh is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Grace Roh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Grace Roh reassigns Medicare benefits to St. Johns Community Health (Los Angeles, 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 Grace Roh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Grace Roh accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 13 other insurers list Grace Roh 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.
When was this NPI record last updated?
The NPPES record for Grace Roh was last updated on January 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Grace Roh · NPI 1992127005
Dentist provider in Fresno, California. Individual provider, active in the CMS NPPES registry since January 8, 2014.
## Identity
- **NPI:** 1992127005 (Entity type: Individual)
- **Enumerated:** January 8, 2014
- **Primary specialty:** Dentist · taxonomy 122300000X
- **State license:** 62989 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 501 W SIERRA AVE APT 219, Fresno, CA 93704-1139
- **Phone:** (951) 202-4729
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** St. Johns Community Health (NPI 1932249505, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 8, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1992127005) · Data from the CMS NPPES public registry.