Individual provider Active NPI

Omid Rouhi, M.D., PHD

  • Anatomic Pathology & Clinical Pathology Physician
  • Orlando, FL
National Provider Identifier
1306195920
Registry record updated May 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
17767 Issued in FL
Practice address
1414 Kuhl Ave
MP44
Orlando, FL 32806-2008
Phone
(312) 504-2877
NPI assigned
Aug 29, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 17767 FL Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 036143549 IL

Addresses

Primary practice location

1414 Kuhl Ave
MP44
Orlando, FL 32806-2008

Mailing address

5645 W Addison St
Chicago, IL 60634-4403
Phone (312) 504-2877

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180604000283 IL Practitioner - Pathology 0840555371 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Emory University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathology Consultants of Chicago, LTD.Group PAC ID 1759369911, 3 clinicians
Addison-Central Pathology PLLCGroup PAC ID 0840288304, 15 clinicians

Practice addresses (Care Compare)

2525 S Michigan Ave
Chicago, IL 60616-2315
Phone (847) 807-9616

7435 W Talcott Ave
Chicago, IL 60631-3707
Phone (847) 757-7515

Hospital & facility affiliations

  • Presence Saints Mary and Elizabeth Medical Center Hospital, Chicago, IL, CCN 140180
  • Insight Hospital and Medical Center Chicago Hospital, Chicago, IL, CCN 140158

Merit-based Incentive Payment System (MIPS)

Final score
90.15 of 100Reported as group
Quality
63.33
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17767FLMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Pathology Consultants, PLLC Anatomic Pathology & Clinical Pathology CurrentSince Aug 19, 2022 Accepting new patients
Orlando Health Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153

1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923

Interoperability endpoints

  • Direct secure messaging: omid.rouhi.1@11074.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 and National Provider Directory roles.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525996800000",
    "number": "1306195920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5645 W ADDISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344403",
            "telephone_number": "312-504-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 KUHL AVE",
            "address_2": "MP44",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062008",
            "telephone_number": "312-504-2877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUHI",
        "first_name": "OMID",
        "credential": "M.D., PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-29",
        "last_updated": "2018-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "17767",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "036143549",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.