Individual provider Active NPI

Roger Friedman, MD

  • Allergy Physician
  • Westerville, OH
National Provider Identifier
1336147982
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
35047371 Issued in OH
Practice address
477 Cooper Rd Ste 480
Westerville, OH 43081-8095
Phone
(614) 823-7135
Fax
(614) 823-7137
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 35047371 OH Primary

Addresses

Primary practice location

477 Cooper Rd Ste 480
Westerville, OH 43081-8095

Mailing address

1810 Mackenzie Dr FL 2
Columbus, OH 43220-2967
Phone (614) 273-2250

Other identifiers 1

IdentifierTypeStateIssuer
0487530MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cooperallergy@1047.direct.myezyaccess.com
Direct Messaging Address dublinallergy@1047.direct.myezyaccess.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050817000049 OH Practitioner - Allergy/Immunology 4082654876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Ohio State University College of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Otolaryngologists IncGroup PAC ID 7719881960, 59 clinicians

Practice addresses (Care Compare)

477 Cooper Rd
Suite 480
Westerville, OH 43081-8095
Phone (614) 823-7135

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.51 of 100Reported as group
Quality
92.35
Promoting interoperability
88
Improvement activities
40
Cost
86.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35047371OHMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Otolaryngologists Inc CurrentSince Jan 1, 2015 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1810 Mackenzie Dr
Columbus, OH 43220
Phone (614) 273-2234

974 Bethel Rd
Ste A
Columbus, OH 43214
Phone (614) 538-2422

1810 Mackenzie Dr
Fl 2
Columbus, OH 43220
Phone (614) 273-2250

5877 Cleveland Ave
Columbus, OH 43231
Phone (614) 890-0550

6573 E Broad St
Ste A
Columbus, OH 43213
Phone (614) 755-5151

801 Ohio Health Blvd
Ste 220
Delaware, OH 43015
Phone (740) 368-5588

6670 Perimeter Dr
Ste 270
Dublin, OH 43016
Phone (614) 766-4903

5610 N Hamilton Rd
Gahanna, OH 43230
Phone (614) 476-1112

2526 London Groveport Rd
Grove City, OH 43123
Phone (614) 273-2230

477 Cooper Rd
Ste 480
Westerville, OH 43081
Phone (614) 293-4238

Interoperability endpoints

  • Direct secure messaging: cooperallergy@1047.direct.myezyaccess.com
  • Direct secure messaging: dublinallergy@1047.direct.myezyaccess.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.

Hospital & facility affiliations 7

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1336147982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 MACKENZIE DR FL 2",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202967",
            "telephone_number": "614-273-2250",
            "fax_number": "614-273-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 COOPER RD STE 480",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818095",
            "telephone_number": "614-823-7135",
            "fax_number": "614-823-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "ROGER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "OH",
            "license": "35047371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0487530",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cooperallergy@1047.direct.myezyaccess.com",
            "affiliation": "N",
            "address_1": "477 Cooper Rd Ste 480",
            "city": "Westerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430818095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dublinallergy@1047.direct.myezyaccess.com",
            "affiliation": "N",
            "address_1": "6670 Perimeter Dr Ste 270",
            "city": "Dublin",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430168065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.