Active NPI
Fayez Roumani, M.D.
- Internal Medicine Physician
- Bradford, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD037066-L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006136650001 | Medicaid | PA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Pavilion at BRMC, the
- Bradford Ecumenical Home, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD037066-L | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Medical Group of Pennsylvania PC | Internal Medicine | Current | Accepting new patients |
| Apogee Medical Group of Pennsylvania PC | Internal Medicine | Current | Accepting new patients |
| Olean General Hospital | Internal Medicine | Current | Accepting new patients |
| Olean General Hospital | Current | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Bradford Ecumenical Home Inc | 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.
-
- Skilled Nursing Facility
- Bradford, PA
- NPI 1831187079
Adp of the SNF, Corporate Director
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.
-
- General Practice Physician
- Bradford, PA
- NPI 1649296781
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1568633535
PA
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1649227166
-
- Skilled Nursing Facility
- Bradford, PA
- NPI 1831187079
-
- Family Medicine Physician
- Bradford, PA
- NPI 1144273814
Internal Medicine
-
- Skilled Nursing Facility
- Bradford, PA
- NPI 1124014691
-
- General Acute Care Hospital
- Bradford, PA
- NPI 1578569885
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Buffalo, NY
- NPI 1902916448
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Olean, NY
- NPI 1225083074
-
- Medicare Defined Swing Bed Hospital Unit
- Olean, NY
- NPI 1699715904
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.