NPIMap

Individual provider Active NPI

Roman Magid, DO

  • Physical Medicine & Rehabilitation Physician
  • Cedar Rapids, IA
National Provider Identifier
1396206801
Registry record updated Aug 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
DO-06351 Issued in IA
Practice address
855 A Ave NE Ste 105
Cedar Rapids, IA 52402-5060
Phone
(319) 368-5992
NPI assigned
Mar 27, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 125073897 IL
Physical Medicine & Rehabilitation Physician 208100000X DO-06351 IA Primary

Addresses

Primary practice location

855 A Ave NE Ste 105
Cedar Rapids, IA 52402-5060

Mailing address

855 A Ave NE Ste 105
Cedar Rapids, IA 52402-5060
Phone (319) 368-5992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240209002712 IA Practitioner - Emergency Medicine 3971946591 Reassigns benefits to 1 organization
I20260622002317 IL Practitioner - Physical Medicine and Rehabilitation 3971946591

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stanley Mathew, MD PLLCGroup PAC ID 8729128384, 11 clinicians

Practice addresses (Care Compare)

1026 A Ave NE
Unity Point Health St Luke's
Cedar Rapids, IA 52402-5036
Phone (319) 369-7211

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO-06351IAMDPhysical Medicine & Rehabilitation Physician
125073897ILMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Stanley Mathew, MD PLLC Physical Medicine & Rehabilitation CurrentSince Jan 6, 2024 Accepting new patients
St Luke's Methodist Hospital Past Accepting new patients

Locations

1209 E 3rd St
Anamosa, IA 52205
Phone (319) 462-4356

3726 Thunder Ridge Rd
Bettendorf, IA 52722

855 A Ave NE
Ste 105
Cedar Rapids, IA 52402
Phone (319) 368-5992

1026 A Ave NE
Cedar Rapids, IA 52402
Phone (319) 369-5970

7300 34th Ave
Moline, IL 61265
Phone (309) 792-5940

2545 24th St
Rock Island, IL 61201
Phone (309) 788-0458

Interoperability endpoints

  • Direct secure messaging: rmagid1008311@direct.unitypoint.org

Organizations & group practices 3

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": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692489600000",
    "number": "1396206801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 A AVE NE STE 105",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025060",
            "telephone_number": "319-368-5992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 A AVE NE STE 105",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025060",
            "telephone_number": "319-368-5992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGID",
        "first_name": "ROMAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-27",
        "last_updated": "2023-08-20",
        "certification_date": "2023-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "125073897",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IA",
            "license": "DO-06351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.