Active NPI
Peter D. Roman, MD, PC
- Orthopaedic Surgery Physician
- North Chelmsford, MA
National Provider Identifier
1861667784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 59057
- Legal business name
- PETER D. ROMAN, MD, PC
- Practice address
- 10 Research PL
Suite 203
North Chelmsford, MA 01863-2439 - Phone
- (978) 275-9650
- NPI assigned
- Apr 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peter D Roman, M.D.
- Title
- President
- Phone
- (978) 275-9650
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 59057 | MA | Primary |
Addresses
Primary practice location
10 Research PL
Suite 203
North Chelmsford, MA 01863-2439
Mailing address
10 Research PL
Suite 203
North Chelmsford, MA 01863-2439
Phone (978) 275-9650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M16955 | Other | MA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- North Chelmsford, MA
- NPI 1922072495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362096000000",
"number": "1861667784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 RESEARCH PL",
"address_2": "SUITE 203",
"city": "NORTH CHELMSFORD",
"state": "MA",
"postal_code": "018632439",
"telephone_number": "978-275-9650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 RESEARCH PL",
"address_2": "SUITE 203",
"city": "NORTH CHELMSFORD",
"state": "MA",
"postal_code": "018632439",
"telephone_number": "978-275-9650"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PETER D. ROMAN, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-23",
"last_updated": "2013-03-01",
"status": "A",
"authorized_official_last_name": "ROMAN",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "978-275-9650",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "MA",
"license": "59057",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "M16955",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Chelmsford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.