Physician Compare National (NPI:1710396783)

HEALTHCARE PROVIDER: PETER ROUMANOS D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1710396783
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8426336785
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170609001188
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ROUMANOS
	Individual professional last name
Provider First Name	PETER
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2014
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL MEDICINE AND REHABILITATION
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2050 VERSAILLES RD
	Group Practice or individual's line 1 address
City	LEXINGTON
	Group Practice or individual's city
State	KY
	Group Practice or individual's state
Zip Code	405041405
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	180103
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BAPTIST HEALTH LEXINGTON
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	180010
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SAINT JOSEPH HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	180127
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	FRANKFORT REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	180143
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	SAINT JOSEPH EAST
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y