Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Katherine W Roller, MD

Individual provider Family Medicine Physician · NPI 1093755563

Dr. Katherine W Roller, MD is a Family Practice in Walnut Creek, California. Graduated from Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University in 1995, 31 years ago. Practices with Northbay Health Medical Foundation, a 202-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
31
Trained at
Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1455 Montego Ste 104
Walnut Creek, CA 94598-2990
Phone: (925) 946-1711
Fax: (925) 946-1902
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A62718 (CA)

Record details

NPI number1093755563
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 6, 2006
Last updated in NPPESJune 21, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolCLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated 1995 (31 years in practice)
Group practice Northbay Health Medical Foundation — 202 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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