NPIMap

Individual provider Active NPI

Roman Ivan Czubatyj, M.D.

  • Non-Pharmacy Dispensing Site
  • Rochester Hills, MI
National Provider Identifier
1972797892
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
5101009426 Issued in MI
Practice address
1701 South Blvd E Ste 110
Rochester Hills, MI 48307-6118
Phone
(248) 853-0803
Fax
(248) 852-5859
NPI assigned
Sep 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 4301090701 MI
Non-Pharmacy Dispensing Site 332900000X 5101009426 MI Primary

Addresses

Primary practice location

1701 South Blvd E Ste 110
Rochester Hills, MI 48307-6118

Mailing address

1701 South Boulevard East
Suite 140
Rochester Hills, MI 48307-1804
Phone (248) 853-0803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110629000529 MI Practitioner - RheumatologyPractitioner - Internal MedicinePractitioner - Pediatric Medicine 6406034040 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Wayne State University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John E Tower DO PCGroup PAC ID 5092787465, 6 clinicians

Practice addresses (Care Compare)

3150 Livernois Rd
Suite 275
Troy, MI 48083-5034
Phone (248) 853-0803

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301090701MIMDRheumatology Physician
5101009426MIMDNon-Pharmacy Dispensing Site

Practice roles

OrganizationSpecialtyStatusNew patients
Macomb Oakland Adult Medicine PC Internal Medicine Current Accepting new patients
John E. Tower DO PC Rheumatology CurrentSince Aug 4, 2014 Accepting new patients
Arcturus Healthcare PLC Internal Medicine CurrentSince Jan 1, 2026 Accepting new patients
Schoolcraft Memorial Hospital CurrentSince Feb 20, 2025 Accepting new patients
Arcturus Healthcare PLC Internal Medicine CurrentSince Jan 1, 2026 Accepting new patients

Locations

7870W US Highway 2
Manistique, MI 49854
Phone (906) 341-2153

1701 South Blvd E
Ste 140
Rochester Hills, MI 48307
Phone (248) 792-9881

1701 South Blvd E
Ste 110
Rochester Hills, MI 48307
Phone (248) 853-0803

1701 South Blvd E
Ste 290
Rochester Hills, MI 48307
Phone (248) 997-7000

3150 Livernois Rd
Ste 275
Troy, MI 48083
Phone (248) 457-5401

Interoperability endpoints

  • Direct secure messaging: roman.czubatyj.p15@direct.aara1.nextgenshare.com

Organizations & group practices 5

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 6

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": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1972797892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SOUTH BOULEVARD EAST",
            "address_2": "SUITE 140",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483071804",
            "telephone_number": "248-853-0803",
            "fax_number": "248-852-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SOUTH BLVD E STE 110",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076118",
            "telephone_number": "248-853-0803",
            "fax_number": "248-852-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZUBATYJ",
        "first_name": "ROMAN",
        "middle_name": "IVAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-04",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MI",
            "license": "4301090701",
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "MI",
            "license": "5101009426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.