Individual provider Active NPI

Pejman Rohani, DO

  • Vascular Surgery Physician
  • Mount Airy, MD
National Provider Identifier
1619134475
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
255211 Issued in NY
Practice address
106 E Ridgeville Blvd Ste 2
Mount Airy, MD 21771-5248
Phone
(240) 732-1200
Fax
(877) 940-4014
NPI assigned
May 20, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X 25MB08940000 NJ
Vascular Surgery Physician 2086S0129X 12841173-1204 UT
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X H0097426 MD
Vascular Surgery Physician 2086S0129X 7571088 ID
Vascular Surgery Physician 2086S0129X 255211 NY Primary
Vascular Surgery Physician 2086S0129X LT18891 ND
Vascular Surgery Physician 2086S0129X 25MB08940000 NJ

Addresses

Primary practice location

106 E Ridgeville Blvd Ste 2
Mount Airy, MD 21771-5248

Mailing address

190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-8866

Other practice location 1

775 Pole Line Rd W Ste 213
Twin Falls, ID 83301-5820
Phone (208) 814-8475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, MD, DC, VA, MN, NY, PA, CA8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20230127002682 UT Practitioner - Vascular Surgery 3274799291 Reassigns benefits to 1 organization
I20230607000631 MD Practitioner - Vascular Surgery 3274799291
I20230607001665 DC Practitioner - Vascular Surgery 3274799291
I20240220001304 VA Practitioner - Vascular Surgery 3274799291
I20241206000459 MN Practitioner - Vascular Surgery 3274799291 Reassigns benefits to 2 organizations
I20250401001155 NY Practitioner - Vascular Surgery 3274799291 Reassigns benefits to 1 organization
I20250708004245 PA Practitioner - Vascular Surgery 3274799291 Reassigns benefits to 2 organizations
I20250922002797 CA Practitioner - Vascular Surgery 3274799291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Touro Un College of Osteopathic Medicine, Vallejo, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kern County Hospital AuthorityGroup PAC ID 4688964521, 264 clinicians
St Joseph Medical GroupGroup PAC ID 3779688650, 190 clinicians

Practice addresses (Care Compare)

1700 Mount Vernon Ave
Bakersfield, CA 93306-4018
Phone (661) 326-2000

2494 Bernville Rd
Suite 201
Reading, PA 19605-9468
Phone (610) 378-2676

2500 Bernville Rd
Reading, PA 19605-9453
Phone (610) 378-2000

45 Reade PL
Poughkeepsie, NY 12601-3947
Phone (845) 454-8500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.78 of 100Reported as group
Quality
78.26
Improvement activities
40
Cost
61.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB08940000NJMDSurgical Critical Care Physician
7571088IDMDVascular Surgery Physician
LT18891NDMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healtheast Medical Research Institute Single Specialty Current Accepting new patients
Ihc Health Services Inc Single Specialty Current Accepting new patients
Kern County Hospital Authority Single Specialty CurrentSince Jul 1, 2025 Accepting new patients
Kern County Hospital Authority CurrentSince Jul 1, 2025 Accepting new patients
Ihc Health Services, Inc. CurrentSince Nov 30, 2022 Accepting new patients
St. Joseph Medical Group CurrentSince Aug 1, 2025 Accepting new patients
Fairview Express Care CurrentSince Nov 26, 2024 Accepting new patients
Fairview Express Care Single Specialty CurrentSince Nov 26, 2024 Accepting new patients
Penn State Health Medical Group, LLC Single Specialty CurrentSince Jul 1, 2025 Accepting new patients
Ihc Health Services Inc CurrentSince Nov 30, 2022 Accepting new patients
Fairview Express Care Single Specialty Current Accepting new patients
Nuvance Health Medical Practice PC Single Specialty CurrentSince Mar 24, 2025 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Jul 1, 2025 Accepting new patients
Healtheast Medical Research Institute Single Specialty CurrentSince Nov 26, 2024 Accepting new patients
St. Joseph Medical Group Single Specialty CurrentSince Aug 1, 2025 Accepting new patients
Penn State Health Medical Group, LLC Single Specialty Current Accepting new patients
Healtheast Medical Research Institute CurrentSince Nov 26, 2024 Accepting new patients
Meridian Trauma Associates, P.C. Single Specialty Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

6525 France Ave S
Ste 275
Edina, MN 55435
Phone (952) 831-8346

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

21 Reade Pl
Ste 2200
Poughkeepsie, NY 12601
Phone (845) 483-0698

800 Poplar Church Rd
Camp Hill, PA 17011
Phone (717) 761-6545

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

395 W Cougar Blvd
Ste 503
Provo, UT 84604
Phone (801) 357-4600

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 4

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": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1619134475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241",
            "telephone_number": "208-381-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E RIDGEVILLE BLVD STE 2",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217715248",
            "telephone_number": "240-732-1200",
            "fax_number": "877-940-4014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "775 Pole Line Rd W Ste 213",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833015820",
            "country_code": "US",
            "telephone_number": "208-814-8475",
            "fax_number": "208-814-8953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROHANI",
        "first_name": "PEJMAN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NJ",
            "license": "25MB08940000",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "UT",
            "license": "12841173-1204",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "MD",
            "license": "H0097426",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "ID",
            "license": "7571088",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "255211",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "ND",
            "license": "LT18891",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "25MB08940000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, MD

Sources for this page

Verify at the official NPI Registry.