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ROMAN P SMULKA MD
NPI 1043284268
Family Medicine in Andover, MN

Active since February 14, 2006PECOS Enrolled
15245 BLUEBIRD ST NW, MAIL STOP 39200A RIVERWAY CLINIC - ANDOVER, ANDOVER, MN 55304(763) 587-4600(763) 587-4615 Get Directions Write a Review

NPPES record last updated: January 21, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Roman P Smulka Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROMAN P SMULKA MD (NPI 1043284268) is an individual family medicine provider in Andover, Minnesota, licensed in Minnesota (27033) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043284268
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROMAN P SMULKACredential: MD
Location Address15245 BLUEBIRD ST NW, MAIL STOP 39200A RIVERWAY CLINIC - ANDOVERAndover, MN 55304-3554
Mailing Address15245 Bluebird St NwAnoka, MN 55304-3538 · (763) 587-4600 · Fax (763) 587-4615
Phone(763) 587-4600
Fax(763) 587-4615
Sole ProprietorNo
Enumeration DateFebruary 14, 2006
Last NPPES UpdateJanuary 21, 2013
✔ NPI 1043284268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 27033
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
15245 BLUEBIRD ST NW, Andover, MN 55304
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Other Identifiers 3

Medicare ID-Type Unspecified080008878
Medicare UPIND81166
Medicaid668585400MN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roman P Smulka Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
15 suppliers41 claims125 services$5.54 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$62.59 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
7 suppliers27 claims27 services$182.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIVINA FAMA BIKERI CNP
Nurse Practitioner (Family)
15245 BLUEBIRD ST NW
ANDOVER, MN 55304
Anoka County (763) 587-4688
BARBARA SCHIEFEN
Nurse Practitioner
15245 BLUEBIRD ST NW, HEALTHPARTNERS RIVERWAY ANDOVER URGENT CARE
ANDOVER, MN 55304
Anoka County (952) 853-8800
KARIN FILIP PAC-C
Physician Assistant
15245 BLUEBIRD ST NW
ANDOVER, MN 55304
Anoka County (763) 587-4688
CHANDRAWATIE KHEMRAJ APRN
Nurse Practitioner
15245 BLUEBIRD ST NW
ANDOVER, MN 55304
Anoka County (763) 587-4688
HELEN C KNUTSON PNP
Nurse Practitioner
15245 BLUEBIRD ST NW, MAIL STOP 39200A
ANDOVER, MN 55304
Anoka County (763) 712-6000
GROUP HEALTH, INC.
Clinic/Center (Multi-Specialty)
15245 BLUEBIRD ST NW
ANDOVER, MN 55304
Anoka County (763) 587-4600
AMY CHERUVATHOOR
Pharmacist
15245 BLUEBIRD ST NW
ANDOVER, MN 55304
Anoka County (763) 434-1901
DAVID BRYAN POLLEY NP
Nurse Practitioner
15245 BLUEBIRD ST NW
ANDOVER, MN 55304
Anoka County (763) 587-4688

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roman Smulka's NPI number?

The NPI number for Roman Smulka is 1043284268. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is Roman Smulka located?

Roman Smulka practices at 15245 Bluebird St NW Mail Stop 39200A Riverway Clinic - Andover, Andover, MN 55304. The listed phone number is (763) 587-4600.

What is Roman Smulka's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Roman Smulka enrolled in Medicare?

Yes. Roman Smulka is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Roman Smulka was last updated on January 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.