Individual provider Active NPI

Roman Schwartsman, M.D.

  • Orthopaedic Surgery Physician
  • Boise, ID
National Provider Identifier
1356378723
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
M8579 Issued in ID
Practice address
6590 Norwood Dr
Boise, ID 83704-8765
Phone
(208) 855-2410
Fax
(208) 855-0157
NPI assigned
Jun 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X M8579 ID Primary

Addresses

Primary practice location

6590 Norwood Dr
Boise, ID 83704-8765

Mailing address

6590 Norwood Dr
Boise, ID 83704-8765
Phone (208) 855-2410

Other identifiers 2

IdentifierTypeStateIssuer
000010032353OtherIDREGENCE
53595OtherIDBX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20111230000308 ID Practitioner - Orthopedic Surgery 4082716428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Michigan State University College of Human Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roman Schwartsman MD PCGroup PAC ID 1254433667, 2 clinicians

Practice addresses (Care Compare)

6590 W Norwood Dr
Boise, ID 83704-8765
Phone (208) 377-4003

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8215NVMDGeneral Practice Dentistry
M8579IDMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roman Schwartsman MD PC Orthopaedic Surgery CurrentSince May 1, 2003 Accepting new patients

Locations

6590 W Norwood Dr
Boise, ID 83704
Phone (208) 377-4003

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEJEDD/Endpoint/AEJEDD

Organizations & group practices 1

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.

Hospital & facility affiliations 5

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356378723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6590 NORWOOD DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048765",
            "telephone_number": "208-855-2410",
            "fax_number": "208-855-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6590 NORWOOD DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048765",
            "telephone_number": "208-855-2410",
            "fax_number": "208-855-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTSMAN",
        "first_name": "ROMAN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ID",
            "license": "M8579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "000010032353",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BX",
            "identifier": "53595",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.