Roman Igorevich Krivochenitser, M.D.

Primary specialty

Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X

License

4301105291 Issued in MI

Practice address

1000 E Paris Avenue SE
Ste 130
Grand Rapids, MI 49546-3680

Phone

(616) 949-2001

Fax

(616) 949-8620

NPI assigned

Jun 12, 2014

Last updated

Dec 11, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Ophthalmology

Education

Michigan State University College of Human Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Verdier Eye Center PLCGroup PAC ID 0042203960, 9 clinicians

Michigan Eye Care Provider PLLCGroup PAC ID 1254611809, 21 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.14 of 100Reported as group

Quality

97.39

Improvement activities

40

Cost

77.28

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: rkrivochenitser@frasereye.direct.eyemdemr.com
• Direct secure messaging: rkrivochenitser812651@direct.hfhs.org
• Direct secure messaging: roman.krivochenitser.d2.p1@direct.verdiereyecenter.nextgenshare.com
• Direct secure messaging: roman.krivochenitser.p2@direct.verdiereyecenter.nextgenshare.com

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.

• Michigan Eye Care Provider PLLC

  dba Fraser Eye Care Center

  • Ophthalmology Physician
  • Fraser, MI
  • NPI 1598151318
  Medicare reassignment Care Compare group NPD
• Verdier Eye Center, PLC

  • Ophthalmology Physician
  • Grand Rapids, MI
  • NPI 1578505160
  Medicare reassignment Care Compare group NPD
• Eye Care Providers of Michigan PC

  dba Eye Care Center of Port Huron

  • Ophthalmology Physician
  • Port Huron, MI
  • NPI 1134254071
  NPD (past)

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1336553874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5504 TEQUESTA DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232356",
            "telephone_number": "248-895-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E PARIS AVENUE SE",
            "address_2": "STE 130",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463680",
            "telephone_number": "616-949-2001",
            "fax_number": "616-949-8620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Wall Street",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481051912",
            "country_code": "US",
            "telephone_number": "734-764-4190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRIVOCHENITSER",
        "first_name": "ROMAN",
        "middle_name": "IGOREVICH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-12",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "DR0061743",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "5859-851",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301105291",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "CO",
            "license": "DR0061743",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "MI",
            "license": "4301105291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen M. Kemmer, DDS, PLC
• Linda Z Kristensen
• Kristi Paguio Consulting, LLC
• Kristin Roberts Psychological Services LLC
• Kristinas Therapy Services LLC
• Connor M Kriz, MD
• Alexandria Ann Kroczaleski
• Alex Kroesing
• Krogman Counseling
• Cheryl K. Krogman, SLP

• Glaucoma Specialist (Ophthalmology) Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Glaucoma Specialist (Ophthalmology) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.