Roger G Amigo, D.O.
Individual provider Active NPI Urology Physician · Bellefontaine, OH
NPI 1982603668 · NPPES record last updated Nov 18, 2016
Key facts
- NPI
- 1982603668
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- 5016 (OH)
- Practice address
- 2160 Ewing Crawfis Cir
Bellefontaine, OH 43311-9042 - Phone
- (937) 593-0070
- Fax
- (937) 599-0075
- NPI assigned
- Jul 15, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Urology
- Education
- Ohio University, College of Osteopathic Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mary Rutan Hospital
Practice addresses (Care Compare)
205 E Palmer Rd
Bellefontaine, OH 43311-2281
Phone (937) 592-4015
2160 Ewing Crawfis Cir
Bellefontaine, OH 43311-9042
Phone (937) 599-0045
911 S Main St
Kenton, OH 43326-2207
Phone (937) 404-9751
Hospital & facility affiliations
- Mary Rutan Hospital
- Hardin Memorial Hospital
- Mount Carmel East & West
- Wilson Memorial Hospital
- Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.3 of 100
- Quality
- 50.52
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 87.15
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100810000055 | OH | Practitioner - Urology | 0749275865 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Rutan Hospital | Current |
Accepting new patients | |
| Mary Rutan Hospital | Current |
Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Surgery & Gynecology Inc | Urology | Past | Accepting new patients |
| Mary Rutan Hospital | Past | Accepting new patients | |
| Mary Rutan Hospital | Urology | Past | Accepting new patients |
Locations
205 E Palmer Rd
Bellefontaine, OH 43311
Phone (937) 592-4015
2160 Ewing Crawfis Cir
Bellefontaine, OH 43311
Phone (937) 592-9221
921 E Franklin St
Kenton, OH 43326
Phone (419) 673-0761
911 S Main St
Kenton, OH 43326
Phone (937) 404-9751
1880 E US Highway 36
Urbana, OH 43078
Phone (937) 484-3500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 5016 | OH | Yes |
Addresses
Primary practice location
2160 Ewing Crawfis Cir
Bellefontaine, OH 43311-9042
Mailing address
2160 Ewing Crawfis Cir
Bellefontaine, OH 43311-9042
Phone (937) 593-0070
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340010844 | Other | OH | RAILROAD MEDICARE PALMETT |
| 000000007681 | Other | OH | ANTHAN BCBS |
| 310884319033 | Other | OH | CARESOURCE |
| 0836760 | Medicaid | OH | |
| 5198086 | Other | OH | AETNA |
| 3980672 | Other | OH | CIGNA |
Other providers in Bellefontaine, OH
- Ae Health LLC
- Emily Alexander
- Laura Michelle Alexander
- Jmal Aldeen Alhaj
- Allied Podiatry, Inc
- Jason M Anane-Sefah
- Brittany Anderson
- Eric Christopher Anderson
- Robert C Anderson
- Jennifer Ankrom
All providers in Bellefontaine, OH · Urology Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.