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Active NPI 1124556261 Individual Practitioner Male Practitioner

Jonathon R Roullard , CAA

Anesthesiologist Assistant • Carmel, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jonathon Roullard, CAA is a certified Anesthesiologist Assistant practicing in Carmel, IN. With approximately 9 years of clinical experience since completing medical education in 2017, Jonathon Roullard delivers high-quality medical care to the local community at 11700 N MERIDIAN ST.

Jonathon Roullard is affiliated with Baycare Medical Group, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope, anesthesia for procedure on large bowel using an endoscope, anesthesia for procedure on spine and spinal cord. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11700 N Meridian St

Carmel, IN 460324656

Telephone 3175774200
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiologist Assistant in Carmel, IN

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -0.1 yrs vs City Avg
City Avg: 9.1 Yrs
State Avg: 4.7 Yrs
Regional Practice Density
7 Specialists

Practicing in Carmel, IN (164 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
92.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Roullard (9 Years) 9 Yrs
Carmel Specialty Average (9.1 Years) 9.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope
44 43 $831.40 $63.00
00811 Anesthesia for procedure on large bowel using an endoscope
26 26 $854.98 $65.01

Medical Specialties & State Licenses

CMS Verified: 2024-12-03
Anesthesiologist Assistant Primary Specialty

NUCC Taxonomy Code: 367H00000X

State License IN 75000146A

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Anesthesiologist Assistant

NUCC Taxonomy Code: 367H00000X

State License None 23865827

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Nccaa
23865827
Commercial Insurance / Payer ID Anthem Ptan
1101755112 (IN)

Hospital & Practice Group Affiliations

Baycare Medical Group, Inc.

2461 Enterprise Rd, Clearwater, FL 337631726

Phone: 7277255060

Baycare Medical Group, Inc.

300 Pinellas St, Clearwater, FL 337563804

Phone: 7274618231

Secondary Practice Locations

8900 N Kendall Dr

Miami, FL 331762118

Phone: 6145990171

1701 N Senate Blvd

Indianapolis, IN 462021239

Phone: 3179628880

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003016585

Doctor of Medicine (M.D.)

Dr. John Gripe , MD

Anesthesiology

NPI 1003077082

Doctor of Medicine (M.D.)

NPI 1013357474

Doctor of Medicine (M.D.)

NPI 1023279130

Doctor of Medicine (M.D.)

NPI 1023513942

Doctor of Medicine (M.D.)

NPI 1043215353

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2024

Anesthesiologist Assistant (License #75000146A in IN)

📍
Updated Practice Location November 22, 2023

Registered at 11700 N MERIDIAN ST, CARMEL, IN 460324656 (Tel: 3175774200)

📍
Updated Business Mailing Address November 22, 2023

Registered at 250 N SHADELAND AVE, INDIANAPOLIS, IN 462194959

👤
Provider Name / Credentials Updated November 22, 2023

Recorded as JONATHON ROULLARD, CAA

NPI Profile Active June 02, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 02, 2017

Registered at 8900 N KENDALL DR, MIAMI, FL 331762118 (Tel: 6145990171)

📍
Updated Business Mailing Address June 02, 2017

Registered at 8900 N KENDALL DR, MIAMI, FL 331762118

👤
Provider Name / Credentials Updated June 02, 2017

Recorded as JONATHON ROULLARD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2017

Anesthesiologist Assistant (License #23865827 in None)

🟢
Initial NPI Registration & Enumeration June 02, 2017

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: 1124556261
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2017
Last Update: December 03, 2024
Sole Proprietor: No

Mailing Address

250 N Shadeland Ave

Indianapolis, IN 462194959

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.