Active NPI
Richard Alvin Roh, MD
- Obstetrics & Gynecology Physician
- Fairhope, AL
National Provider Identifier
1013974484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 000045346
- Practice address
- 150 South Ingleside
Ste 6
Fairhope, AL 36532 - Phone
- (251) 928-1222
- Fax
- (251) 928-2398
- NPI assigned
- Apr 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 000045346 | AL | Primary |
Addresses
Primary practice location
150 South Ingleside
Ste 6
Fairhope, AL 36532
Mailing address
PO Box 8159
Mobile, AL 36689-0159
Phone (251) 300-2197
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000045346 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110304000441 | AL | Practitioner - Obstetrics/Gynecology | 7315851870 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000045346 | AL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Park OBGYN PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Fairhope Internal Medicine PC | Past | Accepting new patients |
Locations
150 S Ingleside St
#6
Fairhope, AL 36532
Phone (251) 928-1222
Interoperability endpoints
- richard.roh@alc011.digichart.direct-ci.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Fairhope, AL
- NPI 1447291190
AL, Obstetrics & Gynecology
-
- Internal Medicine Physician
- Fairhope, AL
- NPI 1295760494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405296000000",
"number": "1013974484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8159",
"city": "MOBILE",
"state": "AL",
"postal_code": "366890159",
"telephone_number": "251-300-2197",
"fax_number": "251-414-5809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 SOUTH INGLESIDE",
"address_2": "STE 6",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "36532",
"telephone_number": "251-928-1222",
"fax_number": "251-928-2398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROH",
"first_name": "RICHARD",
"middle_name": "ALVIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-28",
"last_updated": "2014-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AL",
"license": "000045346",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000045346",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairhope, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.