Individual provider Active NPI

Roma Srivastava, M.D.

  • Hematology & Oncology Physician
  • Blue Ash, OH
National Provider Identifier
1407102965
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
4301100224 Issued in MI
Practice address
4350 Malsbary Rd
Blue Ash, OH 45242-5665
Phone
(513) 751-2273
Fax
(513) 751-1848
NPI assigned
Aug 1, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301100224 MI
Hematology & Oncology Physician 207RH0003X 4301100224 MI Primary

Addresses

Primary practice location

4350 Malsbary Rd
Blue Ash, OH 45242-5665

Mailing address

5053 Wooster Rd
Cincinnati, OH 45226-2326
Phone (513) 751-2273

Other identifiers 1

IdentifierTypeStateIssuer
491500MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address roma.srivastava@ohc.ikm.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20220709000126 OH Practitioner - Hematology/Oncology 7911252481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oncology Hematology Care IncGroup PAC ID 8921910373, 63 clinicians

Practice addresses (Care Compare)

4777 E Galbraith Rd
Suite 1
Cincinnati, OH 45236-2725
Phone (513) 751-2273

Hospital & facility affiliations

  • The Jewish Hospital-Mercy Health Hospital, Cincinnati, OH, CCN 360016
  • Mercy Health-Anderson Hospital Hospital, Cincinnati, OH, CCN 360001
  • Mercy Health Kings Mills Hospital LLC Hospital, Mason, OH, CCN 360374
  • Bethesda North Hospital, Cincinnati, OH, CCN 360179
  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301100224MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Hematology Care Inc Hematology & Oncology CurrentSince Jul 11, 2022 Accepting new patients
Oncology Hematology Care, Inc. CurrentSince Jul 11, 2022 Accepting new patients
Oncology Hematology Care, Inc. Hematology & Oncology Past Accepting new patients

Locations

4350 Malsbary Rd
Blue Ash, OH 45242
Phone (800) 710-4674

4777 E Galbraith Rd
#1
Cincinnati, OH 45236

5053 Wooster Rd
Cincinnati, OH 45226
Phone (513) 751-2145

3301 Mercy Health Blvd
Ste 100
Cincinnati, OH 45211
Phone (513) 751-2145

Interoperability endpoints

  • Direct secure messaging: romasrivastava@smomsjhsys.allscriptsdirect.net
  • Direct secure messaging: roma.srivastava@ohc.ikm.direct-ci.com

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 and National Provider Directory roles.

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": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1407102965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5053 WOOSTER RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452262326",
            "telephone_number": "513-751-2273",
            "fax_number": "513-751-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 MALSBARY RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452425665",
            "telephone_number": "513-751-2273",
            "fax_number": "513-751-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRIVASTAVA",
        "first_name": "ROMA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-01",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301100224",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "4301100224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "491500",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "roma.srivastava@ohc.ikm.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4350 Malsbary Rd",
            "city": "Blue Ash",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452425665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

Verify at the official NPI Registry.