Individual provider Active NPI

Michael Lee Roh, M.D.

  • Ophthalmology Physician
  • Huntington Beach, CA
National Provider Identifier
1386684629
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A94706 Issued in CA
Practice address
7677 Center Ave
Suite 302
Huntington Beach, CA 92647-3074
Phone
(562) 984-7024
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A94706 CA Primary

Addresses

Primary practice location

7677 Center Ave
Suite 302
Huntington Beach, CA 92647-3074

Mailing address

2625 Highland Ave S
Birmingham, AL 35205-1743
Phone (562) 428-7693

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20060831000216 CA Practitioner - Ophthalmology 7315920337 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Ohio State University College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carson McBeath and Boswell IncGroup PAC ID 1153325394, 7 clinicians

Practice addresses (Care Compare)

361 Hospital Rd
Suite 126
Newport Beach, CA 92663-3510
Phone (562) 984-7024

4300 Long Beach Blvd
Suite 300
Long Beach, CA 90807-2008
Phone (562) 984-7024

Hospital & facility affiliations

  • Uci Health-Orange Hospital, Orange, CA, CCN 050348

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A94706CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orange County Ophthalmology Medical Group Ophthalmology CurrentSince Jan 21, 2009 Accepting new patients
Marshall B. Ketchum University CurrentSince Jun 1, 2022 Accepting new patients
Marshall B. Ketchum University Current Accepting new patients
Markman & Wolstan, a Medical Group Ophthalmology Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Torrance Memorial Medical Center Ophthalmology Past Accepting new patients
Retina Specialists of Alabama LLC Ophthalmology Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Carson MC Beath & Boswell Inc Ophthalmology Past Accepting new patients

Locations

5460 E La Palma Ave
Anaheim, CA 92807
Phone (714) 463-7500

12665 Garden Grove Blvd
Ste 401
Garden Grove, CA 92843
Phone (714) 534-8373

4300 Long Beach Blvd
Ste 300
Long Beach, CA 90807
Phone (562) 984-7024

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 12

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1386684629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 HIGHLAND AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051743",
            "telephone_number": "562-428-7693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7677 CENTER AVE",
            "address_2": "SUITE 302",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473074",
            "telephone_number": "562-984-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROH",
        "first_name": "MICHAEL",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A94706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.