Active NPI
Roman Kovac, DO
- Family Medicine Physician
- Columbus, OH
National Provider Identifier
1821048901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34005525K
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000315472 | Other | OH | BCBS |
| P0014928 | Other | RAIL ROAD MEDICARE | |
| 0884799 | Medicaid | OH |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carbon Health Medical Group of Florida PA | Current | Accepting new patients | |
| Carbon Health Medical Group of Florida PA | Current | 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.
-
- Urgent Care Clinic/Center
- Columbus, OH
- NPI 1295316602
-
- Urgent Care Clinic/Center
- Oro Valley, AZ
- NPI 1396317079
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Emergency Medicine Physician
- Marion, OH
- NPI 1134114077
-
- Emergency Medicine Physician
- Marion, OH
- NPI 1013247568
-
- Emergency Medicine Physician
- Marysville, OH
- NPI 1649271594
-
- Federally Qualified Health Center (FQHC)
- Columbus, OH
- NPI 1861201535
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.