NPIMap

Individual provider Active NPI

Roger G Amigo, D.O.

  • Urology Physician
  • Bellefontaine, OH
National Provider Identifier
1982603668
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
5016 Issued in OH
Practice address
2160 Ewing Crawfis Cir
Bellefontaine, OH 43311-9042
Phone
(937) 593-0070
Fax
(937) 599-0075
NPI assigned
Jul 15, 2005
Last updated
Nov 18, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 5016 OH Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100810000055 OH Practitioner - Urology 0749275865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 HospitalGroup PAC ID 9032013792, 90 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
81.3 of 100Reported as individual
Quality
50.52
Promoting interoperability
100
Improvement activities
40
Cost
87.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Rutan Hospital CurrentSince Nov 15, 2016 Accepting new patients
Mary Rutan Hospital CurrentSince Nov 15, 2016 Accepting new patients
Mary Rutan Hospital Past Accepting new patients
Surgery & Gynecology Inc Urology Past Accepting new patients
Lima Memorial Joint Operating Company 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

911 S Main St
Kenton, OH 43326
Phone (937) 404-9751

921 E Franklin St
Kenton, OH 43326
Phone (419) 673-0761

1880 E US Highway 36
Urbana, OH 43078
Phone (937) 484-3500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1982603668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 EWING CRAWFIS CIR",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433119042",
            "telephone_number": "937-593-0070",
            "fax_number": "937-599-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 EWING CRAWFIS CIR",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433119042",
            "telephone_number": "937-593-0070",
            "fax_number": "937-599-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIGO",
        "first_name": "ROGER",
        "middle_name": "G",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "5016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellefontaine, OH

Sources for this page

Verify at the official NPI Registry.