Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093898447 Individual Practitioner Male Practitioner

Dr. Jay S. Roden , MD

Surgery - Pediatric Surgery • Dallas, TX

Professional Overview & Biography Verified Profile Summary

Dr. Jay Roden, MD is a registered healthcare professional specializing in Surgery - Pediatric Surgery in Dallas, TX. Practice services are available at 12200 PARK CENTRAL DR STE 400 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12200 Park Central Dr Ste 400

Dallas, TX 752512116

Telephone 2144839300
Fax 2144839301
Associated Practice Facility / Clinic
🏢 Pediatric Surgical Associates Facility NPI 1508995358

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Pediatric Surgery in Dallas, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.4 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
24 Specialists

Practicing in Dallas, TX (129 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

CMS Verified: 2020-05-11
Surgery - Pediatric Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0120X

State License TX G0019

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1330870-01 (TX)

Practice Associates & Co-Workers

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

17 Associated Practitioners
Dr. Darrell Hermann , MD

Surgery - Pediatric Surgery

NPI 1053494484

Doctor of Medicine (M.D.)

Dr. John Lanoue , MD

Surgery - Pediatric Surgery

NPI 1093809410

Doctor of Medicine (M.D.)

Dr. David Schindel , MD

Surgery - Pediatric Surgery

NPI 1225007727

Doctor of Medicine (M.D.)

Ansley Benson , PA

Physician Assistant

NPI 1235478645

Physician Assistant

Devyn Lane , PA-C

Physician Assistant - Surgical

NPI 1235658717

Physician Assistant (Certified)

Emma Trask

Physician Assistant

NPI 1245008887

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location May 11, 2020

Registered at 12200 PARK CENTRAL DR STE 400, DALLAS, TX 752512116 (Tel: 2144839300)

📍
Updated Business Mailing Address May 11, 2020

Registered at 12200 PARK CENTRAL DR STE 400, DALLAS, TX 752512116 (Tel: 2144839300)

NPI Profile Active November 15, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location November 15, 2007

Registered at 7000 W PLANO PKWY, SUITE, PLANO, TX 750938466 (Tel: 2144839300)

📍
Updated Business Mailing Address November 15, 2007

Registered at 7000 W PLANO PKWY, SUITE, PLANO, TX 750938466 (Tel: 2144839300)

👤
Provider Name / Credentials Updated November 15, 2007

Recorded as JAY RODEN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2007

Surgery (License #G0019 in TX)

🟢
Initial NPI Registration & Enumeration October 21, 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: 1093898447
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 21, 2006
Last Update: May 11, 2020
Sole Proprietor: No

Mailing Address

12200 Park Central Dr Ste 400

Dallas, TX 752512116

Phone: 2144839300

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.