Active NPI
Roger T Kucway, MD
- Radiation Oncology Physician
- Monroe, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 4301070053
- Practice address
- 800 Stewart Rd
Monroe, MI 48162-4226 - Phone
- (734) 240-1800
- NPI assigned
- Sep 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 35.090157 | OH | |
| Radiation Oncology Physician | 2085R0001X | 4301070053 | MI | Primary |
Addresses
Primary practice location
800 Stewart Rd
Monroe, MI 48162-4226
Mailing address
1 Seagate # 800
Toledo, OH 43604-1558
Phone (734) 240-1800
Other practice location 1
3000 Regency Ct
Ste 207
Toledo, OH 43623-3092
Phone (419) 471-0493
Other practice location 2
5300 Harroun Rd Ste 10
Sylvania, OH 43560-2146
Phone (419) 824-1952
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00422855 | Other | OH | RR MEDICARE |
| 5182210 | Medicaid | MI | |
| 0N24000017 | Other | MI | MEDICARE |
| 2361386 | Medicaid | OH | |
| 5201594 | Other | MI | MI MEDICAID- OH LOCATIONS |
| P00639054 | Other | MI | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Wayne State University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-1111
800 Stewart Rd
Monroe, MI 48162-4274
Phone (734) 240-1800
Hospital & facility affiliations
- Promedica Monroe Regional Hospital
- Promedica Toledo Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301070053 | MI | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promedica Central Physicians | Current | Accepting new patients | |
| Promedica Central Physicians | Current | Accepting new patients | |
| Toledo Radiation Oncology, Inc | Radiation Oncology | Past | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Northeastern Michigan Cancer Center | Radiation Oncology | Past | Accepting new patients |
| Radiation Oncology Alliance | Radiation Oncology | Past | Accepting new patients |
Locations
777 Kimole Ln
Ste 250
Adrian, MI 49221
Phone (517) 265-3411
777 Kimole Ln
Adrian, MI 49221
Phone (517) 263-3393
777 Kimole Ln
Ste 130
Adrian, MI 49221
Phone (517) 265-0292
1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280
800 Stewart Rd
Monroe, MI 48162
Phone (734) 240-1800
718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097
800 Stewart Rd
Ste A
Monroe, MI 48162
Phone (734) 240-1800
2390 Enterprise St
Fremont, OH 43420
Phone (419) 461-1057
5805 Monclova Rd
Maumee, OH 43537
Phone (419) 824-1952
5300 Harroun Rd
Ste 10
Sylvania, OH 43560
Phone (419) 824-1952
5855 Monroe St
Sylvania, OH 43560
Phone (419) 291-2273
5300 Harroun Rd
Ste 118
Sylvania, OH 43560
Phone (419) 479-5386
2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111
2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112
1 Seagate
#800
Toledo, OH 43604
Phone (567) 585-1964
1091 Pray Blvd
Waterville, OH 43566
Phone (419) 785-3282
Organizations & group practices 7
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.
-
- Durable Medical Equipment & Medical Supplies
- Toledo, OH
- NPI 1669068482
-
- Radiation Oncology Physician
- Alpena, MI
- NPI 1275567869
-
- Radiation Oncology Physician
- Lansing, MI
- NPI 1477587061
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Radiation Oncology Physician
- Toledo, OH
- NPI 1558358309
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Monroe, MI
- NPI 1811097223
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582502400000",
"number": "1417049818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SEAGATE # 800",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436041558",
"telephone_number": "734-240-1800",
"fax_number": "419-824-7359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 STEWART RD",
"city": "MONROE",
"state": "MI",
"postal_code": "481624226",
"telephone_number": "734-240-1800"
}
],
"practiceLocations": [
{
"address_1": "3000 Regency Ct",
"address_2": "Ste 207",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436233092",
"country_code": "US",
"telephone_number": "419-471-0493",
"fax_number": "419-474-0390",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5300 Harroun Rd Ste 10",
"address_purpose": "LOCATION",
"city": "Sylvania",
"state": "OH",
"postal_code": "435602146",
"country_code": "US",
"telephone_number": "419-824-1952",
"fax_number": "419-824-0344",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUCWAY",
"first_name": "ROGER",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "OH",
"license": "35.090157",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "MI",
"license": "4301070053",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00422855",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5182210",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "0N24000017",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2361386",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MI MEDICAID- OH LOCATIONS",
"identifier": "5201594",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00639054",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.