NPIMap

Individual provider Active NPI

James Edward Rohan, M.D.

  • Body Imaging Physician
  • Addison, ME
National Provider Identifier
1144290347
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
56399991205 Issued in UT
Practice address
290 W Side Rd
Addison, ME 04606-3022
Phone
(207) 483-4091
Fax
(207) 483-4091
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 56399991205 UT Primary

Addresses

Primary practice location

290 W Side Rd
Addison, ME 04606-3022

Mailing address

290 W Side Rd
Addison, ME 04606-3022
Phone (207) 483-4091

Other identifiers 2

IdentifierTypeStateIssuer
D5921MedicaidUT
563999912000OtherUTBLUE CROSS OF UT

Other names 1

  • James Edward Hornig-Rohan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140630001429 TX Practitioner - Diagnostic Radiology 5991779852 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Vermont College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pine Ridge Indian Health Service HospitalGroup PAC ID 4688654130, 8 clinicians
Pine Ridge Indian Health Service HospitalGroup PAC ID 4688571326, 107 clinicians

Practice addresses (Care Compare)

210 E 1St St
Wanblee, SD 57577-0290
Phone (605) 462-6155

East Hwy 18
Pine Ridge, SD 57770-1201
Phone (605) 867-3032

P O Box
Suite 1201
Pine Ridge, SD 57770-1201

P O Box 1201 E Hwy 18
Pine Ridge, SD 57770-1201

PO Box 1201 E Hwy 18
Pine Ridge, SD 57770-1201

Hospital & facility affiliations

  • Pine Ridge IHS Hospital Hospital, Pine Ridge, SD, CCN 430098
  • Monument Health Rapid City Hospital Hospital, Rapid City, SD, CCN 430077
  • Gordon Memorial Hospital District Hospital, Gordon, NE, CCN 281358

Merit-based Incentive Payment System (MIPS)

Final score
96.38 of 100Reported as group
Quality
80.82
Promoting interoperability
91
Improvement activities
40
Cost
84.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital CurrentSince Jan 5, 2022 Accepting new patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Jun 16, 2014 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Jun 16, 2014 Accepting new patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients

Organizations & group practices 5

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.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1144290347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 W SIDE RD",
            "city": "ADDISON",
            "state": "ME",
            "postal_code": "046063022",
            "telephone_number": "207-483-4091",
            "fax_number": "207-483-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 W SIDE RD",
            "city": "ADDISON",
            "state": "ME",
            "postal_code": "046063022",
            "telephone_number": "207-483-4091",
            "fax_number": "207-483-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHAN",
        "first_name": "JAMES",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "UT",
            "license": "56399991205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D5921",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF UT",
            "identifier": "563999912000",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMES",
            "last_name": "HORNIG-ROHAN",
            "middle_name": "EDWARD",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Addison, ME

Sources for this page

Verify at the official NPI Registry.