Roman Petroff, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35047914 Issued in OH

Practice address

730 Som Center Rd Ste 230
Mayfield Village, OH 44143-2362

Phone

(440) 461-6477

Fax

(440) 461-1017

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1477568863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 SOM CENTER RD STE 230",
            "city": "MAYFIELD",
            "state": "OH",
            "postal_code": "441432362",
            "telephone_number": "440-461-6477",
            "fax_number": "440-461-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 SOM CENTER RD STE 230",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "441432362",
            "telephone_number": "440-461-6477",
            "fax_number": "440-461-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROFF",
        "first_name": "ROMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35047914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "110216615",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0512903",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "romanpetroff@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "730 Som Center Rd Ste 230",
            "city": "Mayfield Village",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441432362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shannon Perkins
• Kristy Nicole Perusko, MSN/FAMILY NURSE PRA
• Alyson Pescho, CT
• Shelly Debbie Pesick-Caine, M.D.
• Scott G Peters, DPM
• Dana Michelle Pierce
• Podiatry Inc
• Michael P Polsinelli, DC
• Samantha Popio, BCBA
• Michelle Price, PTA

• Internal Medicine Physician in Mayfield Village, OH
• Providers in Mayfield Village, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.