Individual provider Active NPI

Roger Goomber, M.D.

  • Pain Medicine Physician
  • Parma, OH
National Provider Identifier
1871787879
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
35.092470 Issued in OH
Practice address
6305 Powers Blvd
Mac 4
Parma, OH 44129
Phone
(440) 743-4333
Fax
(440) 743-2421
NPI assigned
Sep 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35.092470 OH
Pain Medicine Physician 208VP0000X 35.092470 OH Primary

Addresses

Primary practice location

6305 Powers Blvd
Mac 4
Parma, OH 44129

Mailing address

6305 Powers Blvd
Mac 4
Parma, OH 44129-4322
Phone (440) 743-4333

Other identifiers 1

IdentifierTypeStateIssuer
0051150MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rogergoomber@uhps.allscriptsdirect.net
Direct Messaging Address rogergoomber@uhps.allscriptsdirect.net

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
I20110629000593 OH Practitioner - AnesthesiologyPractitioner - Pain Management 2365620911 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Anesthesia Group, IncGroup PAC ID 9537222138, 130 clinicians

Practice addresses (Care Compare)

6305 Powers Blvd
Parma, OH 44129-5468
Phone (440) 350-0832

Hospital & facility affiliations

  • Parma Community General Hospital Hospital, Parma, OH, CCN 360041
  • Southwest General Health Center Hospital, Middleburg Heights, OH, CCN 360155
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
  • Uh St John Medical Center Hospital, Westlake, OH, CCN 360123

Merit-based Incentive Payment System (MIPS)

Final score
78.79 of 100Reported as group
Quality
71.01
Improvement activities
40
Cost
82.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.092470OHMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Anesthesia Group, Inc Anesthesiology CurrentSince Apr 17, 2020 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients

Locations

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

7757 Auburn Rd
Ste 15
Concord Township, OH 44077
Phone (440) 709-9150

15345 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 743-8000

7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000

6305 Powers Blvd
Parma, OH 44129
Phone (440) 743-2054

6305 Powers Blvd
#4
Parma, OH 44129
Phone (440) 743-4333

6305 Powers Blvd
Lowr
Parma, OH 44129

36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166

Interoperability endpoints

  • Direct secure messaging: rgoomber32924@ehrdirect.uhhospitals.org

Organizations & group practices 3

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1188604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1871787879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 POWERS BLVD",
            "address_2": "MAC 4",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441294322",
            "telephone_number": "440-743-4333",
            "fax_number": "440-743-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 POWERS BLVD",
            "address_2": "MAC 4",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "44129",
            "telephone_number": "440-743-4333",
            "fax_number": "440-743-2421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOMBER",
        "first_name": "ROGER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-01",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35.092470",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OH",
            "license": "35.092470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0051150",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rogergoomber@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "6305 Powers Blvd",
            "address_2": "MAC 4",
            "city": "Parma",
            "state": "OH",
            "country_code": "US",
            "postal_code": "44129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rogergoomber@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "6305 Powers Blvd",
            "address_2": "MAC 4",
            "city": "Parma",
            "state": "OH",
            "country_code": "US",
            "postal_code": "44129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.