Rogue Medical LLC
NPI 1265298400 · Medical Physician Assistant · Phoenix, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rogue Medical LLC is a Medical Physician Assistant organization in Phoenix, OR (NPI 1265298400).
Provider details
- NPI number
- 1265298400
- Entity type
- Organization
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Ben Johnson, Owner(541) 778-4517
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Surgical Physician Assistant363AS0400X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-02-26
- Last updated
- 2024-02-26
- Certified
- 2024-02-26
Frequently asked questions
- What is Rogue Medical LLC's NPI number?
- Rogue Medical LLC's National Provider Identifier (NPI) is 1265298400, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Rogue Medical LLC?
- Rogue Medical LLC is classified in the NPPES registry as Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Rogue Medical LLC located?
- Rogue Medical LLC's practice location on file with NPPES is 205 N Phoenix Rd Ste 430, Phoenix, OR 97535-9108.
- What is Rogue Medical LLC's phone number?
- The practice phone number listed in the NPPES registry for Rogue Medical LLC is (541) 778-4517.
- Does Rogue Medical LLC accept Medicare?
- Rogue Medical LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Rogue Medical LLC?
- The authorized official listed on Rogue Medical LLC's NPPES record is Ben Johnson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Rogue Medical LLC's NPI active?
- Yes — Rogue Medical LLC's NPI (1265298400) is active in the NPPES registry as of the last update on 2024-02-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.