Active NPI
Roger S Palutsis, M.D.
- Orthopaedic Surgery Physician
- Alliance, OH
National Provider Identifier
1619965449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 35063106
- Practice address
- 1401 S Arch Ave
Alliance, OH 44601-4202 - Phone
- (330) 821-0201
- Fax
- (330) 821-1924
- NPI assigned
- Oct 6, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 35063106 | OH | Primary |
Addresses
Primary practice location
1401 S Arch Ave
Alliance, OH 44601-4202
Mailing address
1401 S Arch Ave
Alliance, OH 44601-4202
Phone (330) 821-0201
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0894493 | Medicaid | OH | |
| 341089680 | Other | OH | GREAT WEST HEALTH |
| 733348 | Other | OH | BUCKEYE HEALTH PLAN |
| 341089680 | Other | OH | AULTCARE |
| 341089680023 | Other | OH | CARESOURCE |
| 4332880 | Other | OH | AETNA |
| 341089680 | Other | OH | CIGNA |
| 341089680 | Other | OH | FIRST HEALTH |
| 341089680 | Other | OH | PPO NEXT |
| Q012010A | Other | OH | HOMETOWN HEALTH PLAN |
| 000000126983 | Other | OH | ANTHEM |
| 341089680 | Other | OH | DIRECT CARE AMERICA |
| 127480600 | Other | OH | FEDERAL EMPLOYEES BWC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 10, 2016 through Mar 10, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carnation Clinic Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Alliance, OH
- NPI 1114092814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276128000000",
"number": "1619965449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 S ARCH AVE",
"city": "ALLIANCE",
"state": "OH",
"postal_code": "446014202",
"telephone_number": "330-821-0201",
"fax_number": "330-821-1924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 S ARCH AVE",
"city": "ALLIANCE",
"state": "OH",
"postal_code": "446014202",
"telephone_number": "330-821-0201",
"fax_number": "330-821-1924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALUTSIS",
"first_name": "ROGER",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-06",
"last_updated": "2010-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OH",
"license": "35063106",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0894493",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST HEALTH",
"identifier": "341089680",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUCKEYE HEALTH PLAN",
"identifier": "733348",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AULTCARE",
"identifier": "341089680",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "341089680023",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4332880",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "341089680",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "341089680",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PPO NEXT",
"identifier": "341089680",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOMETOWN HEALTH PLAN",
"identifier": "Q012010A",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000126983",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIRECT CARE AMERICA",
"identifier": "341089680",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL EMPLOYEES BWC",
"identifier": "127480600",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alliance, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.