Douglas Roen, PA
NPI 1457498453 · Surgical Physician Assistant · Oakland, CA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Douglas Roen, PA is a Surgical Physician Assistant provider in Oakland, CA (NPI 1457498453).
Provider details
- NPI number
- 1457498453
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 16016 (CA)
Specialties & taxonomies
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
19 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
- 2007-01-30
- Last updated
- 2022-01-03
Frequently asked questions
- What is Douglas Roen's NPI number?
- Douglas Roen's National Provider Identifier (NPI) is 1457498453, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Douglas Roen's specialty?
- Douglas Roen is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Douglas Roen located?
- Douglas Roen's practice location on file with NPPES is 275 W Macarthur Blvd, Oakland, CA 94611-5641.
- What is Douglas Roen's phone number?
- The practice phone number listed in the NPPES registry for Douglas Roen is (510) 752-1000.
- Does Douglas Roen accept Medicare?
- Douglas Roen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Douglas Roen's NPI active?
- Yes — Douglas Roen's NPI (1457498453) is active in the NPPES registry as of the last update on 2022-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.