Individual provider Active NPI

Roman Kovac, DO

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1821048901
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34005525K Issued in OH
Practice address
6200 Cleveland Ave
Columbus, OH 43231-8608
Phone
(614) 566-0602
Fax
(614) 566-0581
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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 34005525K OH Primary

Addresses

Primary practice location

6200 Cleveland Ave
Columbus, OH 43231-8608

Mailing address

4750 Hempstead Station Dr
Kettering, OH 45429-5164

Other identifiers 3

IdentifierTypeStateIssuer
000000315472OtherOHBCBS
P0014928OtherRAIL ROAD MEDICARE
0884799MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040107000010 OH Practitioner - Family Practice 2668371998 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Health Medical Group of Florida PA CurrentSince Dec 6, 2021 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Dec 6, 2021 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Osu Family Practice Services Past Accepting new patients
Marysville Emergency Physicians Inc. Past Accepting new patients
Marion General Hospital Foundation, Inc. Past Accepting new patients
Marion Physician Billing LLC Past Accepting new patients

Locations

4173 Worth Ave
#K105
Columbus, OH 43219
Phone (740) 268-2656

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1821048901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 HEMPSTEAD STATION DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 CLEVELAND AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432318608",
            "telephone_number": "614-566-0602",
            "fax_number": "614-566-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVAC",
        "first_name": "ROMAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34005525K",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000315472",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P0014928",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0884799",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.