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DAEYOUNG D ROH MD NPI 1619920675


NPI Information

NPI: 1619920675
Provider Name: DAEYOUNG D ROH, MD
Classification: Internal Medicine - 207R00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
15492 E PRENTICE DR
CENTENNIAL, CO
ZIP 80015
Phone: (817) 296-9180
Get Directions

Daeyoung D Roh, MD is an internal medicine in Centennial, CO. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Daeyoung D Roh, MD NPI is 1619920675. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15492 E PRENTICE DR
CENTENNIAL, CO
ZIP 80015-267
Phone: (817) 296-9180
Fax: (817) 421-6252

The NPI 1619920675 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 enumeration date for this NPI number is 5/18/2006 and was last updated on 10/3/2017.


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
1207R00000XInternal MedicineDR.0051910COLORADONo
2207R00000XInternal MedicineG62251CALIFORNIAYes
3207R00000XInternal MedicineM3075TEXASNo
4207RN0300XInternal MedicineNephrologyM3075TEXASNo

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
1P00869616MEDICARE PINTEXAS
263503514OTHERCOLORADOMEDICAID
3179849803MEDICAIDTEXAS
4179849802MEDICAIDTEXAS
5E49242MEDICARE UPINTEXAS
6179849801MEDICAIDTEXAS
7179849805MEDICAIDTEXAS
88S5106OTHERTEXASBCBS
98L8921MEDICARE PINTEXAS
10TXB112090MEDICARE PINTEXAS
118G5506MEDICARE PINTEXAS
128L8932MEDICARE PINTEXAS
13399243MEDICARE PINCOLORADO

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.