Active NPI
Daeyoung D Roh, MD
- Hospitalist Physician
- Centennial, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- G62251
- Practice address
- 15492 E Prentice Dr
Centennial, CO 80015-4267 - Phone
- (817) 296-9180
- Fax
- (817) 421-6252
- NPI assigned
- May 18, 2006
- Last updated
- Oct 19, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | DR.0051910 | CO | |
| Internal Medicine Physician | 207R00000X | G62251 | CA | |
| Internal Medicine Physician | 207R00000X | M3075 | TX | |
| Nephrology Physician | 207RN0300X | M3075 | TX | |
| Hospitalist Physician | 208M00000X | G62251 | CA | Primary |
Addresses
Primary practice location
15492 E Prentice Dr
Centennial, CO 80015-4267
Mailing address
15492 E Prentice Dr
Centennial, CO 80015-4267
Phone (817) 296-9180
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 179849805 | Medicaid | TX | |
| 179849802 | Medicaid | TX | |
| 179849803 | Medicaid | TX | |
| 179849801 | Medicaid | TX | |
| 8S5106 | Other | TX | BCBS |
| 63503514 | Other | CO | MEDICAID |
Other names 1
- David Roh
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0051910 | CO | MD | Internal Medicine Physician |
| G62251 | CA | MD | Hospitalist Physician |
| 62251 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Regional Health Care System Inc | Multi-Specialty | Current | Accepting new patients |
| Galen Inpatient Physicians PC | Multi-Specialty | Current | Accepting new patients |
| Galen Inpatient Physicians PC | Multi-Specialty | Current | Accepting new patients |
| Colorado Hospitalist Services, PLLC | Multi-Specialty | Current | Accepting new patients |
| Inpatient Services, PC | Multi-Specialty | Current | Accepting new patients |
| Colorado Hospitalist Services, PLLC | Multi-Specialty | Current | Accepting new patients |
| Galen Inpatient Physicians, PC | Multi-Specialty | Current | Accepting new patients |
| Inpatient Services, PC | Multi-Specialty | Current | Accepting new patients |
| Petrel Emergency Physicians, a Medical Corporation | Multi-Specialty | Past | Accepting new patients |
| Texas Health Physicians Group | Past | Accepting new patients | |
| Nephrology Associates Medical Group Inc | Multi-Specialty | Past | Accepting new patients |
| Physicians and Allied Health Professionals Group, PA | Multi-Specialty | Past | Accepting new patients |
Locations
700 River Dr
Fort Bragg, CA 95437
Phone (707) 961-1234
115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663
869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800
501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300
8300 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 425-2015
Interoperability endpoints
- droh14594@unitedregional.medalliesdirect.net
- https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
Organizations & group practices 13
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666137600000",
"number": "1619920675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15492 E PRENTICE DR",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "800154267",
"telephone_number": "817-296-9180",
"fax_number": "817-421-6252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15492 E PRENTICE DR",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "800154267",
"telephone_number": "817-296-9180",
"fax_number": "817-421-6252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROH",
"first_name": "DAEYOUNG",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2022-10-19",
"certification_date": "2022-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "DR.0051910",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "G62251",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "M3075",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "TX",
"license": "M3075",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "G62251",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "179849805",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "179849802",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "179849803",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "179849801",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8S5106",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "63503514",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DAVID",
"last_name": "ROH",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.