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PETER G ROAN MD NPI 1326037342


NPI Information

NPI: 1326037342
Provider Name: PETER G ROAN, MD
Classification: Internal Medicine - 207RI0011X
Entity Type: Individual

Specialization: Interventional Cardiology

Organization: SAINT ALPHONSUS MEDICAL CENTER NAMPA, INC

PECOS Registration: Yes

Address:
4424 E FLAMINGO AVE
SUITE 300
NAMPA, ID
ZIP 83687
Phone: (208) 302-0200
Get Directions

Peter G Roan, MD is an interventional cardiology internal medicine in Nampa, ID with 51 years of experience. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. Peter G Roan, MD NPI is 1326037342. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year:1973

The provider's business location address is:

4424 E FLAMINGO AVE
SUITE 300
NAMPA, ID
ZIP 83687-306
Phone: (208) 302-0200
Fax: (208) 302-0255

The NPI 1326037342 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report (HCPCS:93010)
  • Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
  • Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report (HCPCS:93280)
  • Catheter insertion of stents in major coronary artery or branch, accessed through the skin (HCPCS:92928)
  • Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart (HCPCS:93458)
  • Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician interpretation and report (HCPCS:93018)

The enumeration date for this NPI number is 10/21/2005 and was last updated on 11/15/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RI0011XInternal MedicineInterventional CardiologyM6613IDAHONo
2207RI0011XInternal MedicineInterventional CardiologyM-6613IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B25954MEDICARE UPIN
21129581MEDICARE PINIDAHO
3B3390OTHERIDAHOBLUE CROSS
4003895300MEDICAIDIDAHO
51130855MEDICARE ID-TYPE UNSPECIFIEDIDAHO
6000010149232OTHERIDAHOBLUE SHIELD
7P00182709OTHERIDAHORAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.