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

Jonathon R Roullard, CAA

Individual provider Anesthesiologist Assistant · NPI 1124556261

Jonathon R Roullard, CAA is an Anesthesiology Assistant in Carmel, Indiana. Qualified in 2017, 9 years ago. Practices with Piedmont Anesthesia LLC, a 554-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
9
Licensed in
IN
In the registry since
2017
Specialties on file
2

Practice location Address checks out

11700 N Meridian St
Carmel, IN 46032-4656
Phone: (317) 577-4200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 8900 N Kendall Dr, Miami, FL 33176-2118 — (614) 599-0171
  • 1701 N Senate Blvd, Indianapolis, IN 46202-1239 — (317) 962-8880

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 75000146A (IN)
Anesthesiologist Assistant Taxonomy 367H00000X · Licence 23865827

Record details

NPI number1124556261
Entity typeIndividual (Type 1)
GenderMale
Credentials CAA
Sole proprietorNo
NPI enumeratedJune 2, 2017
Last updated in NPPESDecember 3, 2024
Certification dateDecember 3, 2024
Mailing address250 N Shadeland Ave, Indianapolis, IN 46219-4959

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Piedmont Anesthesia Llc — 554 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Carmel