Individual provider Active NPI

Rohan Anthony Stern, MD

  • Diagnostic Radiology Physician
  • Norfolk, VA
National Provider Identifier
1902829260
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101261157 Issued in VA
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

Updated by the provider on Jun 19, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1902829260MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, VA, CT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040907001011 MA Practitioner - Diagnostic Radiology 4789573080 Reassigns benefits to 3 organizations
I20161018000139 VA Practitioner - Diagnostic Radiology 4789573080 Reassigns benefits to 1 organization
I20230320000737 CT Practitioner - Diagnostic Radiology 4789573080 Reassigns benefits to 4 organizations

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
Connecticut Imaging Partners LLCGroup PAC ID 4183649098, 105 clinicians
Jefferson Radiology PCGroup PAC ID 8729982525, 121 clinicians

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

LicenseStateTypeSpecialty
41720CTMDDiagnostic Radiology Physician
0101261157VAMDDiagnostic Radiology Physician
TP815KYMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hampton Roads Radiology Associates, PC Diagnostic Radiology CurrentSince Oct 1, 2016 Accepting new patients
Tic, LLC Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Kingsley Lane Anatomic Pathology Current Accepting new patients
Farmington Imaging Center, LLC Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Jefferson Radiology, PC Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Connecticut Imaging Partners, LLC Diagnostic Radiology CurrentSince Jan 1, 2023 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

  • FHIR API: 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.

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": "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

Verify at the official NPI Registry.