Individual provider Active NPI

Fayez Roumani, M.D.

  • Internal Medicine Physician
  • Bradford, PA
National Provider Identifier
1982647723
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD037066-L Issued in PA
Practice address
199 Pleasant St
Suite 24
Bradford, PA 16701-1098
Phone
(814) 362-4075
Fax
(814) 362-4075
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD037066-L PA Primary

Addresses

Primary practice location

199 Pleasant St
Suite 24
Bradford, PA 16701-1098

Mailing address

PO Box 522
Bradford, PA 16701-0522
Phone (814) 362-4075

Other identifiers 1

IdentifierTypeStateIssuer
0006136650001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040830000521 PA Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Nephrology 0547235947 Reassigns benefits to 2 organizations
Practice locations: Bradford, PA

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine, Nephrology
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olean General HospitalGroup PAC ID 9133111784, 78 clinicians

Practice addresses (Care Compare)

116 Interstate Pkwy
Bradford, PA 16701-1036
Phone (814) 368-4143

195 Pleasant St
Bradford, PA 16701-1081
Phone (814) 362-4075

195 Pleasant St
Suite 4
Bradford, PA 16701-0522

200 Pleasant St
Bradford, PA 16701-1065
Phone (814) 362-8293

Hospital & facility affiliations

  • Olean General Hospital Hospital, Olean, NY, CCN 330103
  • Pavilion at BRMC, the Nursing home, Bradford, PA, CCN 395355
  • Bradford Ecumenical Home, Inc Nursing home, Bradford, PA, CCN 395908

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD037066-LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group of Pennsylvania PC Internal Medicine CurrentSince Jan 21, 2018 Accepting new patients
Apogee Medical Group of Pennsylvania PC Internal Medicine CurrentSince Jan 21, 2018 Accepting new patients
Olean General Hospital Internal Medicine CurrentSince May 1, 2021 Accepting new patients
Olean General Hospital CurrentSince May 1, 2021 Accepting new patients
Olean General Hospital Past Accepting new patients
Bradford Regional Medical Services Internal Medicine Past Accepting new patients
Mobile Diagnostic Testing Services Inc Past Accepting new patients
Olean General Hospital Past Accepting new patients
Bradford Ecumenical Home Inc Past Accepting new patients

Locations

515 Main St
Olean, NY 14760
Phone (716) 373-2600

623 Main St
Olean, NY 14760
Phone (716) 372-4212

116 Interstate Pkwy
Bradford, PA 16701
Phone (814) 362-8674

195 Pleasant St
Unit 4
Bradford, PA 16701
Phone (814) 362-4075

200 Pleasant St
Bradford, PA 16701
Phone (814) 362-8293

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bradford Ecumenical Home IncBradford, PA, CCN 395908 Skilled nursing facility Corporate Director
Adp of the SNF
Jan 1, 1989
Feb 20, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216252800000",
    "number": "1982647723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 522",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167010522",
            "telephone_number": "814-362-4075",
            "fax_number": "814-362-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 PLEASANT ST",
            "address_2": "SUITE 24",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167011098",
            "telephone_number": "814-362-4075",
            "fax_number": "814-362-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUMANI",
        "first_name": "FAYEZ",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2008-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD037066-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006136650001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradford, PA

Sources for this page

Verify at the official NPI Registry.