Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912925140 Individual Practitioner Male Practitioner

Dr. Charles Roller , MD

Pediatrics • Mesa, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Charles Roller, MD is a registered healthcare professional specializing in Pediatrics in Mesa, AZ. Practice services are available at 10720 E SOUTHERN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10720 E Southern Ave
Suite 116

Mesa, AZ 852093810

Telephone 4803650050
Fax 4803650049
Associated Practice Facility / Clinic
🏢 Sonoran Sky Pediatrics Facility NPI 1710139860

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Mesa, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.1 Yrs
State Avg: 23.5 Yrs
Regional Practice Density
64 Specialists

Practicing in Mesa, AZ (1353 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License AZ 42322

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License MO R4P75

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500496 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1306839584

Doctor of Medicine (M.D.)

NPI 1598090821

Doctor of Medicine (M.D.)

NPI 1740481811

Doctor of Medicine (M.D.)

NPI 1851476386

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 25, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location November 25, 2014

Registered at 10720 E SOUTHERN AVE, SUITE 116, MESA, AZ 852093810 (Tel: 4803650050)

📍
Updated Business Mailing Address November 25, 2014

Registered at 10720 E SOUTHERN AVE, SUITE 116, MESA, AZ 852093810 (Tel: 4803650050)

👤
Provider Name / Credentials Updated November 25, 2014

Recorded as CHARLES ROLLER, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 25, 2014

Pediatrics (License #42322 in AZ)

🟢
Initial NPI Registration & Enumeration July 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912925140
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2006
Last Update: November 25, 2014
Sole Proprietor: No

Mailing Address

10720 E Southern Ave, Suite 116

Mesa, AZ 852093810

Phone: 4803650050

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.