Rohan Penmetcha, DO

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

DO-05569 Issued in IA

Practice address

788 8TH Avenue SE
Suite 400
Cedar Rapids, IA 52401

Phone

(319) 832-2328

Fax

(319) 832-1168

NPI assigned

Jun 4, 2014

Last updated

Jul 13, 2020By the provider in NPPES

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 IA

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

Cardiovascular Disease (Cardiology)

Education

West Virginia School of Osteopathic Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Medical CenterGroup PAC ID 4183535271, 295 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Medical Center - Cedar Rapids Hospital, Cedar Rapids, IA, CCN 160079
• St Lukes Hospital Hospital, Cedar Rapids, IA, CCN 160045

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rpenmetcha751351@direct.unitypoint.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mercy Medical Center

  dba Mercy Family Counseling, Mercy Psychiatric

  • Psychiatry Physician
  • Cedar Rapids, IA
  • NPI 1700834165
  Medicare reassignment Care Compare group NPD
• Mercy Physician Associates, Inc

  dba Mercy Care Edgewood

  • Family Medicine Physician
  • Cedar Rapids, IA
  • NPI 1427254952
  Medicare reassignment NPD
• Mercy Medical Center

  dba Hall Perrine Cancer Center Pharmacy

  • Community/Retail Pharmacy
  • Cedar Rapids, IA
  • NPI 1114923513
  NPD
• Mercy Medical Center

  dba Mercy Professional Services

  • Cardiovascular Disease Physician
  • Cedar Rapids, IA
  • NPI 1669617106
  NPD
• Mercy Physician Associates Inc

  dba MercyCare Health at Mount Mercy

  • Family Medicine Physician
  • Cedar Rapids, IA
  • NPI 1619554086
  NPD
• Mercy Physician Associates, Inc

  dba Mercy Care North Liberty

  • Family Medicine Physician
  • North Liberty, IA
  • NPI 1164629937
  NPD
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD

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

• Mercy Medical Center

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1720029333
  Care Compare affiliation
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  Care Compare affiliation

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1841603172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "788 8TH AVENUE SE",
            "address_2": "SUITE 400",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "52401",
            "telephone_number": "319-832-2328",
            "fax_number": "319-832-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "788 8TH AVENUE SE",
            "address_2": "SUITE 400",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "52401",
            "telephone_number": "319-832-2328",
            "fax_number": "319-832-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENMETCHA",
        "first_name": "ROHAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-04",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IA",
            "license": "DO-05569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge Pena, CADC
• Melissa Pence-Antcliff, LMT
• Cristina Marie Pence, SLP
• Kari J Pendergrass, PTA
• Karen Penick, LISW
• Kimberly Penning, TCADC
• Valerie Joan Pennington, SLP
• Shannon Elise Perea, LMHC
• Gabrielle Marilyn Pereboom, TLMHC
• Angela D Perkins, PSYD

• Cardiovascular Disease Physician in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Cardiovascular Disease Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.