Individual provider Active NPI

Miin Roh, M.D.

  • Ophthalmology Physician
  • Boston, MA
National Provider Identifier
1629333166
Registry record updated Mar 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
265993 Issued in MA
Practice address
243 Charles St
Boston, MA 02114-3002
Phone
(671) 523-7900
NPI assigned
Jul 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 265993 MA Primary

Addresses

Primary practice location

243 Charles St
Boston, MA 02114-3002

Mailing address

243 Charles St
Boston, MA 02114-3002
Phone (671) 523-7900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mrohmd269154@direct.atrius.masshiway.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160707001249 MA Practitioner - Ophthalmology 0749419158 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atrius Health IncGroup PAC ID 4789588641, 1,214 clinicians
Massachusetts Eye and Ear Associates, IncGroup PAC ID 4486540275, 430 clinicians
Reliant Medical Group IncGroup PAC ID 5597755322, 638 clinicians

Practice addresses (Care Compare)

100 2ND Ave
Needham, MA 02494-2809
Phone (781) 726-4800

133 Brookline Ave
Boston, MA 02215-3904
Phone (617) 421-1000

21 Bristol Dr
South Easton, MA 02375-1199
Phone (774) 302-5700

228 Billerica Rd
Chelmsford, MA 01824-3604
Phone (978) 250-6000

243 Charles St
Boston, MA 02114-3002
Phone (617) 523-7900

5 Neponset St
Worcesteer, MA 01606-2714
Phone (508) 595-2300

Hospital & facility affiliations

  • Massachusetts Eye and Ear Infirmary - Hospital, Boston, MA, CCN 220075

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Reliant Medical Group, Inc CurrentSince Apr 1, 2024 Accepting new patients
Atrius Health, Inc. Ophthalmology CurrentSince Oct 7, 2018 Accepting new patients
Atrius Health, Inc. CurrentSince Oct 7, 2018 Accepting new patients
Joslin Clinic Inc CurrentSince Sep 1, 2018 Accepting new patients
Massachusetts Eye and Ear Associates, Inc. Ophthalmology CurrentSince Jul 1, 2016 Accepting new patients
Reliant Medical Group, Inc Past Accepting new patients
Atrius Health, Inc. Ophthalmology Past Accepting new patients

Locations

1 Joslin Pl
Boston, MA 02215
Phone (617) 309-2400

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

243 Charles St
Boston, MA 02114
Phone (617) 523-7900

330 Baker Ave
Concord, MA 01742
Phone (978) 287-9300

300 Crown Colony Dr
Ste 201
Quincy, MA 02169
Phone (617) 573-3135

21 Bristol Dr
Ste 201
South Easton, MA 02375
Phone (508) 565-3450

5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615075200000",
    "number": "1629333166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 CHARLES ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143002",
            "telephone_number": "671-523-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 CHARLES ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143002",
            "telephone_number": "671-523-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROH",
        "first_name": "MIIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2021-03-07",
        "certification_date": "2021-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "265993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mrohmd269154@direct.atrius.masshiway.net",
            "affiliation": "N",
            "address_1": "133 Brookline Ave",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "022153904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.