Individual provider Active NPI

Roger A. Pompeo, M.D.

  • Family Medicine Physician
  • Cohasset, MA
National Provider Identifier
1710974480
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30135 Issued in MA
Practice address
20 Parkingway
Cohasset, MA 02025-1700
Phone
(781) 383-9422
Fax
(781) 383-8024
NPI assigned
Sep 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 30135 MA Primary

Addresses

Primary practice location

20 Parkingway
Cohasset, MA 02025-1700

Mailing address

20 Parkingway
Cohasset, MA 02025-1700
Phone (781) 383-9422

Other identifiers 4

IdentifierTypeStateIssuer
7170OtherMAHARVARD PILGRIM
C06014OtherMABLUE CROSS
3192989MedicaidMA
706228OtherMATUFTS

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
I20050908000432 MA Practitioner - Family Practice 4385676527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Boston University School of Medicine, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

20 Parkingway
Cohasset, MA 02025-1700
Phone (781) 383-9422

Hospital & facility affiliations

  • South Shore Hospital Hospital, South Weymouth, MA, CCN 220100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions14

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cohasset Harbor Adult Medicine Practice LLC CurrentSince Jun 1, 2013 Accepting new patients

Locations

20 Parkingway
Cohasset, MA 02025
Phone (781) 383-9422

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.

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": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280188800000",
    "number": "1710974480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PARKINGWAY",
            "city": "COHASSET",
            "state": "MA",
            "postal_code": "020251700",
            "telephone_number": "781-383-9422",
            "fax_number": "781-383-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PARKINGWAY",
            "city": "COHASSET",
            "state": "MA",
            "postal_code": "020251700",
            "telephone_number": "781-383-9422",
            "fax_number": "781-383-8024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMPEO",
        "first_name": "ROGER",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2010-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "30135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "7170",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "C06014",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3192989",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "706228",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cohasset, MA

Sources for this page

Verify at the official NPI Registry.