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Jonathon R Roullard , CAA

Anesthesiologist Assistant โ€ข Carmel, IN

Active NPI 1124556261 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

11700 N Meridian St
Carmel, IN 460324656

Call 3175774200 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

11700 N Meridian St

Carmel, IN 460324656

Telephone 3175774200
Organization at the Same NPPES Address or Phone
Indiana University Health, Inc Facility NPI 1013985696

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Indianapolis, IN; Miami, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Baycare Medical Group, Inc.. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2017

Medicare patients

163 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $4,462 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $3,496 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $17.56 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

Years since graduation

9 years (graduated 2017)

CMS Doctors and Clinicians data list 2017 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jonathon Roullard has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Carmel and Indiana

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 65% of clinicians listed under Anesthesiologist Assistant in Indiana (2024, 78 clinicians with data). Median for this group: 53. Middle half: 31 to 82.

Too few clinicians listed under Anesthesiologist Assistant in Carmel have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

Close to the middle for clinicians listed under Anesthesiologist Assistant in Indiana (2024, 78 clinicians with data). Median for this group: $4,152. Middle half: $2,669 to $7,528.

Too few clinicians listed under Anesthesiologist Assistant in Carmel have Medicare Part B data for 2024 to compare.

Paid by Medicare

Close to the middle for clinicians listed under Anesthesiologist Assistant in Indiana (2024, 78 clinicians with data). Median for this group: $3,279. Middle half: $2,151 to $5,729.

Too few clinicians listed under Anesthesiologist Assistant in Carmel have Medicare Part B data for 2024 to compare.

7 active clinicians are listed under Anesthesiologist Assistant with a practice address in Carmel, IN (164 in Indiana).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $17.56.

Manufacturer Payment Nature Product Type Amount ($)
Haemonetics Corporation
Food and Beverage
In-kind items and services
TEG6S HEMOSTASIS SYSTEM General $17.56

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2018โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
00731 Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope
44 43 $831.40 $63.00
00811 Anesthesia for other procedure on large bowel using an endoscope
26 26 $854.98 $65.01

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-12-03
Anesthesiologist Assistant Primary Specialty

NUCC Taxonomy Code: 367H00000X

License # reported to NPPES 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

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Indiana Professional Licensing Agency.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Nccaa
23865827
Other Identifier Anthem Ptan
1101755112 (IN)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - ANESTHESIOLOGY ASSISTANT

Medicare Enrollment ID

I20260520004733

Enrollment State Jurisdiction

GA

PECOS Control ID

8022363712

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

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

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
NPI 1831552454

Doctor of Medicine (M.D.)

Dr. Carol Baker , MD

Anesthesiology

NPI 1225084007

Doctor of Medicine (M.D.)

Solomon Berkowitz , CAA

Anesthesiologist Assistant

NPI 1396978540
Melissa Blix , CRNA

Nurse Anesthetist, Certified Registered

NPI 1922731520

Certified Registered Nurse Anesthetist

NPI 1780745539

Doctor of Medicine (M.D.)

NPI 1700865391

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2024

Anesthesiologist Assistant (license number reported to NPPES: IN 75000146A)

๐Ÿ“
Updated Practice Location November 22, 2023

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

๐Ÿ“
Updated Business Mailing Address November 22, 2023

Registered at 250 N SHADELAND AVE, INDIANAPOLIS, IN 462194959

๐Ÿ‘ค
Provider Name / Credentials Updated November 22, 2023

Recorded as JONATHON ROULLARD, CAA

โœ…
NPI Profile Active June 02, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) June 02, 2017

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

๐Ÿ“
Business Mailing Address (Initial Record) June 02, 2017

Registered at 8900 N KENDALL DR, MIAMI, FL 331762118

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) June 02, 2017

Recorded as JONATHON ROULLARD

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2017

Anesthesiologist Assistant (license number reported to NPPES: None 23865827)

๐ŸŸข
Initial NPI Registration & Enumeration June 02, 2017

First registered as active Individual Practitioner in NPPES Database.

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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

Other Anesthesiologist Assistants in Carmel

Healthcare providers in Carmel

Mailing Address

250 N Shadeland Ave

Indianapolis, IN 462194959

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.