Roller Neurology
NPI 1780265009ActiveOrganization· Psychiatry & Neurology, Neurology· Grand Forks, ND
Psychiatry & Neurology, Neurology in Grand Forks, North Dakota, registered in NPPES in April 2021. The authorized official on file is Matthew J. Roller, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1780265009 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 19, 2021 |
| Last updated in NPPES | Jul 27, 2021 |
| Certified by provider | Jun 30, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Neurology Primary | 2084N0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN); Part B Supplier - Clinic/Group Practice (ND) |
|---|
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