NPIMap

Individual provider Active NPI

Roger Lewis Gelperin, D.O.

  • Emergency Medicine Physician
  • Elizabethtown, KY
National Provider Identifier
1215954037
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
03736 Issued in KY
Practice address
1382 Hutcherson LN
Elizabethtown, KY 42701-6999
Phone
(915) 491-4575
Fax
(270) 735-9311
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 03736 KY Primary

Addresses

Primary practice location

1382 Hutcherson LN
Elizabethtown, KY 42701-6999

Mailing address

1382 Hutcherson LN
Elizabethtown, KY 42701-6999
Phone (915) 491-4575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS PHS Naihs Fort Defiance Hospital Past Accepting new patients
Bulldog Emergency Physicians Emergency Medicine Past Accepting new patients
U S Health Dept of Health & Human Services Past Accepting new patients
U S Health Dept of Health & Human Services Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: roger.gelperin.1@15020.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1215954037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1382 HUTCHERSON LN",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427016999",
            "telephone_number": "915-491-4575",
            "fax_number": "270-735-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1382 HUTCHERSON LN",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427016999",
            "telephone_number": "915-491-4575",
            "fax_number": "270-735-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELPERIN",
        "first_name": "ROGER",
        "middle_name": "LEWIS",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "03736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.