Individual provider Active NPI

Rohn S Allega, M.D.

  • Emergency Medicine Physician
  • Joplin, MO
National Provider Identifier
1316003098
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2019018019 Issued in MO
Practice address
1130 E 32ND St
Joplin, MO 64804-4034
Phone
(417) 347-2273
Fax
(417) 347-2277
NPI assigned
Dec 28, 2006
Last updated
Jun 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2019018019 MO Primary
Family Medicine Physician 207Q00000X H2206 TX
Family Medicine Physician 207Q00000X 36359 SC
Family Medicine Physician 207Q00000X 036117506 IL

Addresses

Primary practice location

1130 E 32ND St
Joplin, MO 64804-4034

Mailing address

PO Box 3810
Joplin, MO 64803-3810
Phone (417) 347-2273

Other identifiers 3

IdentifierTypeStateIssuer
118563905MedicaidTX
635487YM5UOtherTXMEDICARE PIN
363592MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20190702002592 MO Practitioner - Emergency Medicine 2668575663 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36359SCMDPharmacist
2019018019MOMDEmergency Medicine Physician
H2206TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Freeman-Oak Hill Health System Multi-Specialty CurrentSince Jun 17, 2019 Accepting new patients
Freeman-Oak Hill Health System Multi-Specialty CurrentSince Jun 17, 2019 Accepting new patients
Gibson Community Hospital Association Multi-Specialty Past Accepting new patients
Southeast Emergency Physician Associates, P.a. Multi-Specialty Past Accepting new patients

Locations

1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078

1130 E 32nd St
Joplin, MO 64804
Phone (417) 347-2273

1636 S Madison St
Webb City, MO 64870
Phone (417) 347-2273

Interoperability endpoints

  • Direct secure messaging: rallega169970@ahs.direct-ci.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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1316003098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3810",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648033810",
            "telephone_number": "417-347-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 E 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044034",
            "telephone_number": "417-347-2273",
            "fax_number": "417-347-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEGA",
        "first_name": "ROHN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2019018019",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H2206",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "36359",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036117506",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118563905",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "635487YM5U",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363592",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.