Individual provider Active NPI

Peter Darby Roman, MD

  • Orthopaedic Surgery Physician
  • North Chelmsford, MA
National Provider Identifier
1922072495
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
59057 Issued in MA
Practice address
10 Research PL
Suite 203
North Chelmsford, MA 01863-2439
Phone
(978) 275-9650
Fax
(978) 275-9552
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 59057 MA Primary

Addresses

Primary practice location

10 Research PL
Suite 203
North Chelmsford, MA 01863-2439

Mailing address

10 Hitchcock Farm Rd
Andover, MA 01810
Phone (978) 475-5489

Other identifiers 1

IdentifierTypeStateIssuer
3067149MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050404000956 MA Practitioner - Orthopedic Surgery 3375590169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Medical College of Wisconsin, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10 Research PL
Suite 203
North Chelmsford, MA 01863-2439
Phone (978) 275-9650

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Wakefield, MA, CCN 227211
  • Tufts Medicine Care at Home Home health agency, Lowell, MA, CCN 227206
  • Lowell General Hospital Hospital, Lowell, MA, CCN 220063
  • Northeast Rehabilitation Hospital Inpatient rehabilitation facility, Salem, NH, CCN 303026

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59057MAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peter D. Roman, MD, PC Orthopaedic Surgery CurrentSince Mar 5, 2013 Accepting new patients
The Lowell General Hospital Past Accepting new patients

Locations

10 Research Pl
Ste 203
North Chelmsford, MA 01863
Phone (978) 275-9650

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d04f75c7-2a62-4686-b520-7bf0635f38f0/

Organizations & group practices 2

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 4

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186531200000",
    "number": "1922072495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HITCHCOCK FARM RD",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "01810",
            "telephone_number": "978-475-5489",
            "fax_number": "978-275-9552"
        },
        {
            "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",
            "fax_number": "978-275-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "PETER",
        "middle_name": "DARBY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2007-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "59057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3067149",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.