Active NPI
Rohan Anthony Stern, MD
- Diagnostic Radiology Physician
- Norfolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0101261157
- Practice address
- 110 Kingsley LN Ste 305
Norfolk, VA 23505-4617 - Phone
- (757) 889-5422
- Fax
- (757) 889-5450
- NPI assigned
- Jul 26, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 222637 | MA | |
| Diagnostic Radiology Physician | 2085R0202X | 0101261157 | VA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 276297 | NY |
Addresses
Primary practice location
110 Kingsley LN Ste 305
Norfolk, VA 23505-4617
Mailing address
110 Kingsley LN Ste 305
Norfolk, VA 23505-4617
Phone (757) 889-5422
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902829260 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, VA, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Connecticut School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Hazard Ave
Suite 100
Enfield, CT 06082-5447
Phone (860) 289-3375
1260 Silas Deane Hwy
Suite 104
Wethersfield, CT 06109-4363
85 Seymour St
Suite 200
Hartford, CT 06106-5509
Phone (860) 289-3375
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41720 | CT | MD | Diagnostic Radiology Physician |
| 0101261157 | VA | MD | Diagnostic Radiology Physician |
| TP815 | KY | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hampton Roads Radiology Associates, PC | Diagnostic Radiology | Current | Accepting new patients |
| Tic, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Kingsley Lane Anatomic Pathology | Current | Accepting new patients | |
| Farmington Imaging Center, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Jefferson Radiology, PC | Diagnostic Radiology | Current | Accepting new patients |
| Connecticut Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
Locations
100 Hazard Ave
Ste 100
Enfield, CT 06082
Phone (860) 696-2380
399 Farmington Ave
Lowr 1
Farmington, CT 06032
85 Seymour St
Ste 200
Hartford, CT 06106
Phone (860) 246-6589
6 Fieldstone Cmns
Ste E
Tolland, CT 06084
Phone (860) 896-4847
1260 Silas Deane Hwy
Ste 104
Wethersfield, CT 06109
Phone (860) 563-7844
575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570
291 Moody St
Ludlow, MA 01056
Phone (800) 688-6663
115 W Silver St
Westfield, MA 01085
Phone (413) 562-3444
582 Lynnhaven Pkwy
Ste 301
Virginia Beach, VA 23452
Phone (757) 916-9631
Interoperability endpoints
- https://app.meldrx.com/api/fhir/ei-jefferson
Organizations & group practices 6
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.
-
- Diagnostic Radiology Physician
- Virginia Beach, VA
- NPI 1174533624
-
- Diagnostic Radiology Physician
- Tolland, CT
- NPI 1457702813
-
- Anatomic Pathology & Clinical Pathology Physician
- Newport News, VA
- NPI 1386930451
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Putnam, CT
- NPI 1205056371
-
- General Acute Care Hospital
- Putnam, CT
- NPI 1649243478
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1902834880
-
- General Acute Care Hospital
- Manchester, CT
- NPI 1881564664
-
- General Acute Care Hospital
- Middletown, CT
- NPI 1760454334
-
- General Acute Care Hospital
- Derby, CT
- NPI 1184639973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560902400000",
"number": "1902829260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 KINGSLEY LN STE 305",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235054617",
"telephone_number": "757-889-5422",
"fax_number": "757-889-5450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 KINGSLEY LN STE 305",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235054617",
"telephone_number": "757-889-5422",
"fax_number": "757-889-5450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "ROHAN",
"middle_name": "ANTHONY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2019-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "222637",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101261157",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "276297",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1902829260",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.