Active NPI
Roman Zolotoy
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Big Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 5101019527
- Practice address
- 20095 Gilbert Rd Ste B
Big Rapids, MI 49307-2366 - Phone
- (231) 592-1360
- Fax
- (231) 592-1361
- NPI assigned
- Jul 10, 2011
- 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 |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 5101019527 | MI | Primary |
Addresses
Primary practice location
20095 Gilbert Rd Ste B
Big Rapids, MI 49307-2366
Mailing address
7 Seaport Dr
Quincy, MA 02171-1576
Phone (248) 390-3288
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110119479A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Michigan State University College of Osteopathic Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20095 Gilbert Rd
Suite B
Big Rapids, MI 49307-2366
Phone (231) 592-1360
Hospital & facility affiliations
- Corewell Health Big Rapids Hospital
- Corewell Health Reed City Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Michigan Pain Center PC | Internal Medicine | Current | Accepting new patients |
| Michigan Primary Care Partners P C | Internal Medicine | Current | Accepting new patients |
Locations
20095 Gilbert Rd
Big Rapids, MI 49307
Phone (231) 305-4095
20095 Gilbert Rd
Ste B
Big Rapids, MI 49307
Phone (231) 408-3208
20095 Gilbert Rd
Ste A
Big Rapids, MI 49307
Phone (231) 592-3102
4024 Park East Ct SE
Grand Rapids, MI 49546
Phone (231) 592-3102
Interoperability endpoints
- https://api.platform.athenahealth.com/17442/brand/2/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Big Rapids, MI
- NPI 1366497380
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Grand Rapids, MI
- NPI 1447973060
Internal Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Big Rapids, MI
- NPI 1316945991
-
- Critical Access Hospital
- Reed City, MI
- NPI 1437259843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699488000000",
"number": "1831486950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 SEAPORT DR",
"city": "QUINCY",
"state": "MA",
"postal_code": "021711576",
"telephone_number": "248-390-3288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20095 GILBERT RD STE B",
"city": "BIG RAPIDS",
"state": "MI",
"postal_code": "493072366",
"telephone_number": "231-592-1360",
"fax_number": "231-592-1361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZOLOTOY",
"first_name": "ROMAN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-10",
"last_updated": "2023-11-09",
"certification_date": "2023-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "MI",
"license": "5101019527",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110119479A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Big Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.