Douglas Y Roese, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

1052691A Issued in IN

Practice address

2325 18TH St Ste 220
Columbus, IN 47201-5389

Phone

(812) 372-2245

Fax

(812) 375-2156

NPI assigned

Aug 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Vascular Surgery

Education

Medical College of Georgia School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Johnson Memorial HospitalGroup PAC ID 8527972595, 39 clinicians

Southern Indiana Surgery IncGroup PAC ID 0840240263, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Columbus Regional Hospital Hospital, Columbus, IN, CCN 150112
• Decatur County Memorial Hospital Hospital, Greensburg, IN, CCN 151332
• Johnson Memorial Hospital Hospital, Franklin, IN, CCN 150001
• Schneck Medical Center Hospital, Seymour, IN, CCN 150065

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: droese11609@edirect.crh.org
• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.70317

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.

• Johnson Memorial Hospital

  • General Acute Care Hospital
  • Franklin, IN
  • NPI 1346248986
  Medicare reassignment Care Compare group NPD
• Southern Indiana Surgery Inc

  • Vascular Surgery Physician
  • Columbus, IN
  • NPI 1942314554

  Specialist

  Medicare reassignment Care Compare group NPD
• Decatur County Memorial Hospital

  • Critical Access Hospital
  • Greensburg, IN
  • NPI 1952300477
  Medicare reassignment NPD
• Johnson Memorial Hospital

  • Skilled Nursing Facility
  • Franklin, IN
  • NPI 1053301259
  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• Parkview Logansport Hospital, Inc.

  • Rural Health Clinic/Center
  • Peru, IN
  • NPI 1770248015
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Columbus Regional Hospital

  • General Acute Care Hospital
  • Columbus, IN
  • NPI 1104998624
  Care Compare affiliation
• Decatur County Memorial Hospital

  • Critical Access Hospital
  • Greensburg, IN
  • NPI 1952300477
  Care Compare affiliation
• Jackson County Schneck Memorial Hospital

  • General Acute Care Hospital
  • Seymour, IN
  • NPI 1699738088
  Care Compare affiliation
• Johnson Memorial Hospital

  • General Acute Care Hospital
  • Franklin, IN
  • NPI 1346248986
  Care Compare affiliation
• Johnson Memorial Hospital

  • Occupational Medicine Clinic/Center
  • Franklin, IN
  • NPI 1679577357

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699889162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 18TH ST STE 220",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472015389",
            "telephone_number": "812-372-2245",
            "fax_number": "812-375-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 18TH ST STE 220",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472015389",
            "telephone_number": "812-372-2245",
            "fax_number": "812-375-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROESE",
        "first_name": "DOUGLAS",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "1052691A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Dawn Robinson
• Ashtyn Brooke Robinson
• Jennifer Marie Robinson, NP
• Marian Rodriguez
• Tara Leigh Roeder, M.D.
• Robert Roeseler, RBT
• Dashae Rogan, RBT
• Kathryn Rogers, RBT
• Ritu Rohatgi, DO
• Sara Peters Roll, MSW

• Specialist in Columbus, IN
• Providers in Columbus, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.