Individual provider Active NPI

Grant T Rohman, MD

  • Otolaryngology Physician
  • Cookeville, TN
National Provider Identifier
1356542476
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
45659 Issued in TN
Practice address
100 W 4TH St Ste 200
Cookeville, TN 38501-2452
Phone
(931) 528-1575
Fax
(931) 526-2962
NPI assigned
May 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 45659 TN Primary

Addresses

Primary practice location

100 W 4TH St Ste 200
Cookeville, TN 38501-2452

Mailing address

100 W 4TH St Ste 200
Cookeville, TN 38501-2452
Phone (931) 528-1575

Other identifiers 1

IdentifierTypeStateIssuer
1518985MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20100916000237 TN Practitioner - Otolaryngology 0547385478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
East Tennessee State University Quillen College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upper Cumberland Otolaryngology Clinic, PCGroup PAC ID 1850487158, 6 clinicians

Practice addresses (Care Compare)

100 W 4TH St
Suite 200
Cookeville, TN 38501-2452
Phone (931) 528-1575

Hospital & facility affiliations

  • Cookeville Regional Medical Center Hospital, Cookeville, TN, CCN 440059
  • Cumberland Medical Center Hospital, Crossville, TN, CCN 440009

Merit-based Incentive Payment System (MIPS)

Final score
80.65 of 100Reported as individual
Quality
91.67
Improvement activities
40
Cost
46.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision64
Removal of skin lesions114
Skin biopsy30

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Cumberland Otolaryngology Clinic, PC CurrentSince Aug 2, 2010 Accepting new patients
The Cookeville Surgery Center PastSince Aug 2, 2010 Accepting new patients

Locations

100 W 4th St
Ste 200
Cookeville, TN 38501
Phone (931) 528-1575

Interoperability endpoints

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

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 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": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1356542476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W 4TH ST STE 200",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012452",
            "telephone_number": "931-528-1575",
            "fax_number": "931-526-2962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W 4TH ST STE 200",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012452",
            "telephone_number": "931-528-1575",
            "fax_number": "931-526-2962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHMAN",
        "first_name": "GRANT",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TN",
            "license": "45659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518985",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.