Individual provider Active NPI

Irene Erica Roge, D.P.M.

  • Podiatrist
  • Greenwood, IN
National Provider Identifier
1497762819
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
07001009A Issued in IN
Practice address
1558 Victoria CT
Greenwood, IN 46143-7884
Phone
(317) 697-6536
Fax
(317) 859-2923
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 07001009A IN Primary
Podiatrist 213E00000X IL

Addresses

Primary practice location

1558 Victoria CT
Greenwood, IN 46143-7884

Mailing address

1558 Victoria CT
Greenwood, IN 46143-7884
Phone (317) 697-6536

Other identifiers 2

IdentifierTypeStateIssuer
P00276788OtherILRAILROAD MEDICARE
P00336058OtherINRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

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.

State licenses

LicenseStateTypeSpecialty
016-004849ILMDPodiatrist
07001009AINMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Podiatry Group, LTD Podiatrist Past Accepting new patients
Nikola Ivancevic DPM PC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1497762819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1558 VICTORIA CT",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461437884",
            "telephone_number": "317-697-6536",
            "fax_number": "317-859-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1558 VICTORIA CT",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461437884",
            "telephone_number": "317-697-6536",
            "fax_number": "317-859-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGE",
        "first_name": "IRENE",
        "middle_name": "ERICA",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07001009A",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00276788",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00336058",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.