Active NPI
Christopher Stephen Roman, D.O.
- Emergency Medicine Physician
- Callicoon, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 260718
- Practice address
- 8881 State Route 97
Callicoon, NY 12723-5052 - Phone
- (845) 887-5693
- Fax
- (845) 887-5694
- NPI assigned
- Jun 8, 2007
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0102201922 | VA | |
| Emergency Medicine Physician | 207P00000X | 260718 | NY | Primary |
Addresses
Primary practice location
8881 State Route 97
Callicoon, NY 12723-5052
Mailing address
8881 State Route 97
Callicoon, NY 12723-5052
Phone (845) 887-5693
Other practice location 1
38 Concord Rd
Monticello, NY 12701-3210
Phone (845) 333-6500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03472502 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | croman34458@direct.garnethealth.org | Direct | Garnet Health Doctors PC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 Maltese Dr
Middletown, NY 10940-2115
Phone (845) 342-4774
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.92 of 100
- Quality
- 68.46
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.61
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102201922 | VA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middletown Medical PC | Current | Accepting new patients | |
| Middletown Medical PC | Emergency Medicine | Current | Accepting new patients |
| Sullivan Emergency Services PC | Emergency Medicine | Current | Accepting new patients |
Locations
8881 State Route 97
Callicoon, NY 12723
Phone (845) 333-6800
111 Maltese Dr
Middletown, NY 10940
707 E Main St
Middletown, NY 10940
Phone (845) 333-1000
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- croman34458@direct.garnethealth.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Middletown, NY
- NPI 1902855828
-
- Emergency Medicine Physician
- Harris, NY
- NPI 1528338480
-
- Cardiac Rehabilitation Clinic/Center
- Middletown, NY
- NPI 1174201529
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CRMC Physician Services
- Family Medicine Physician
- Monticello, NY
- NPI 1720039563
Hospital
-
- Rural Acute Care Hospital
- Harris, NY
- NPI 1710977012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1558564310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8881 STATE ROUTE 97",
"city": "CALLICOON",
"state": "NY",
"postal_code": "127235052",
"telephone_number": "845-887-5693",
"fax_number": "845-887-5694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8881 STATE ROUTE 97",
"city": "CALLICOON",
"state": "NY",
"postal_code": "127235052",
"telephone_number": "845-887-5693",
"fax_number": "845-887-5694"
}
],
"practiceLocations": [
{
"address_1": "38 Concord Rd",
"address_purpose": "LOCATION",
"city": "Monticello",
"state": "NY",
"postal_code": "127013210",
"country_code": "US",
"telephone_number": "845-333-6500",
"fax_number": "845-333-6501",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROMAN",
"first_name": "CHRISTOPHER",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-08",
"last_updated": "2023-11-27",
"certification_date": "2020-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0102201922",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "260718",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03472502",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "croman34458@direct.garnethealth.org",
"affiliation": "Y",
"affiliationName": "Garnet Health Doctors PC",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "8881 State Route 97",
"city": "Callicoon",
"state": "NY",
"country_code": "US",
"postal_code": "127235052",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Callicoon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.