Charles Roller, M.D.
Charles Roller is a Pediatrics Physician provider (Pediatrics) practicing in Mesa, AZ, registered in the NPPES registry with NPI 1912925140 since 2006. The credential MD stands for Doctor of Medicine. Practices at Sonoran Sky Pediatrics (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1912925140 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Charles Roller |
| Credential | M.D. |
| Sex | Male |
| Practice address | 10720 E SOUTHERN AVE, SUITE 116, Mesa, AZ, 85209 |
| Phone | 4803650050 |
| Fax | 4803650049 |
| Enumeration date | 2006-07-17 |
| Last updated in NPPES | 2014-11-25 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208000000X | Pediatrics Physician | Secondary | R4P75 | MO |
| 208000000X | Pediatrics Physician | Primary | 42322 | AZ |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500496 | Medicaid | AZ | — |
Copy-ready billing details
Provider: Charles Roller, M.D. NPI: 1912925140 Taxonomy: 208000000X (Pediatrics Physician) Address: 10720 E SOUTHERN AVE, SUITE 116, Mesa, AZ, 85209
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1306839584 | Richard Heck | Individual | Pediatrics Physician | Mesa, AZ |
| 1851476386 | Christopher Hickie | Individual | Pediatrics Physician | Mesa, AZ |
| 1740481811 | Tamara Musso | Individual | Pediatrics Physician | Mesa, AZ |
| 1710139860 | Sonoran Sky Pediatrics | Organization | Pediatrics Physician | Mesa, AZ |
| 1598090821 | Elizabeth Fisher | Individual | Pediatrics Physician | Mesa, AZ |
Verify this record
Cross-check NPI 1912925140 against the authoritative CMS record: view Charles Roller on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What specialty is Charles Roller?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-11-25.