Individual provider Active NPI

Roger Hakimian, M.D.

  • Hematology & Oncology Physician
  • Warren, OH
National Provider Identifier
1467487397
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
14252 Issued in NH
Practice address
1745 Niles Cortland Rd NE Ste 5
Warren, OH 44484
Phone
(330) 856-8600
Fax
(330) 856-8686
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 14252 NH Primary

Addresses

Primary practice location

1745 Niles Cortland Rd NE Ste 5
Warren, OH 44484

Mailing address

PO Box 786536
Philadelphia, PA 19178-6536
Phone (330) 743-2303

Other practice location 1

10 Prospect St
Suite 202
Nashua, NH 03060-3922
Phone (603) 886-7900

Other identifiers 1

IdentifierTypeStateIssuer
2492280MedicaidOH

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
I20180830002536 OH Practitioner - Hematology/Oncology 1052382918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mahoning Valley Hematology Oncology Assoc. Inc.Group PAC ID 3971592916, 7 clinicians

Practice addresses (Care Compare)

835 Southwestern Run
Youngstown, OH 44514-3688
Phone (330) 318-1100

Hospital & facility affiliations

  • Surgical Hospital at Southwoods Hospital, Youngstown, OH, CCN 360352
  • MH St Joseph Warren Hospital Hospital, Warren, OH, CCN 360161
  • MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064
  • HMHP St Elizabeth Boardman Health Center Hospital, Boardman, OH, CCN 360276
  • Salem Regional Medical Center Hospital, Salem, OH, CCN 360185

Merit-based Incentive Payment System (MIPS)

Final score
88.98 of 100Reported as group
Quality
72.17
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14252NHMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quest Diagnostics of Pennsylvania Inc PastSince Sep 1, 2018 Accepting new patients
Vinay Vermani MD Incorporated Past Accepting new patients
Vinay Vermani, M.D., Dba Tri-State Cancer and Blood Specialist Hematology & Oncology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: roger.hakimian@hope.ikm.direct-ci.com

Organizations & group practices 4

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 8

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1467487397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 786536",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191786536",
            "telephone_number": "330-743-2303",
            "fax_number": "330-743-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 NILES CORTLAND RD NE STE 5",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "44484",
            "telephone_number": "330-856-8600",
            "fax_number": "330-856-8686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Prospect St",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030603922",
            "country_code": "US",
            "telephone_number": "603-886-7900",
            "fax_number": "603-594-0654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAKIMIAN",
        "first_name": "ROGER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NH",
            "license": "14252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2492280",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.