Individual provider Active NPI

Roschiel Doble Tiu, M.D.

  • Obstetrics & Gynecology Physician
  • Fort Washington, MD
National Provider Identifier
1033200910
Registry record updated May 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D0065063 Issued in MD
Practice address
950 Swan Creek Rd E
Fort Washington, MD 20744-5250
Phone
(301) 292-0236
Fax
(301) 856-9370
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X D0065063 MD Primary

Addresses

Primary practice location

950 Swan Creek Rd E
Fort Washington, MD 20744-5250

Mailing address

10403 Hospital Dr
Suite G-04
Clinton, MD 20735-3134
Phone (301) 856-3019

Other identifiers 5

IdentifierTypeStateIssuer
89406701 - KR10MEOtherMDBCBS MARYLAND FOR MEDICAL & SURGICAL CLINICS OF SOUTHERN MARYLAND
1851473722OtherMDGROUP NPI - MEDICAL & SURGICAL CLINICS OF SOUTHERN MARYLAND
411851100MedicaidMD
1710998968OtherMDGROUP NPI - FORT WASHINGTON OBGYN SERVICES
B776-0029OtherDCBCBS NCA FOR MEDICAL & SURGICAL CLINICS OF SOUTHERN MARYLAND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070215000491 DC Practitioner - Obstetrics/Gynecology 5193727451 Reassigns benefits to 1 organization
I20111021000142 MD Practitioner - Obstetrics/Gynecology 5193727451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

7503 Surratts Rd
Clinton, MD 20735-3358
Phone (301) 868-8000

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Sep 1, 2017 Accepting new patients
Medstar Medical Group II LLC CurrentSince Sep 16, 2017 Accepting new patients
Medstar Southern Maryland Hospital Center Inc Past Accepting new patients
Medical & Surgical Clinics of Southern Maryland Inc Obstetrics & Gynecology Past Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

5601 Loch Raven Blvd
Ste 102
Baltimore, MD 21239
Phone (410) 581-1200

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000

7501 Surratts Rd
Ste 206
Clinton, MD 20735
Phone (301) 877-4599

10403 Hospital Dr
Ste G4
Clinton, MD 20735
Phone (301) 856-3019

7501 Surratts Rd
Ste 104
Clinton, MD 20735
Phone (301) 877-4689

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

11340 Pembrooke Sq
Ste 203
Waldorf, MD 20603
Phone (301) 396-2024

10 Saint Patricks Dr
Ste 203
Waldorf, MD 20603
Phone (301) 396-8071

3500 Old Washington Rd
Ste 302
Waldorf, MD 20602
Phone (301) 645-8867

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242259200000",
    "number": "1033200910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10403 HOSPITAL DR",
            "address_2": "SUITE G-04",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353134",
            "telephone_number": "301-856-3019",
            "fax_number": "301-856-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 SWAN CREEK RD E",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207445250",
            "telephone_number": "301-292-0236",
            "fax_number": "301-856-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIU",
        "first_name": "ROSCHIEL",
        "middle_name": "DOBLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2009-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0065063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MARYLAND FOR MEDICAL & SURGICAL CLINICS OF SOUTHERN MARYLAND",
            "identifier": "89406701 - KR10ME",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI - MEDICAL & SURGICAL CLINICS OF SOUTHERN MARYLAND",
            "identifier": "1851473722",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "411851100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI - FORT WASHINGTON OBGYN SERVICES",
            "identifier": "1710998968",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NCA FOR MEDICAL & SURGICAL CLINICS OF SOUTHERN MARYLAND",
            "identifier": "B776-0029",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, MD

Sources for this page

Verify at the official NPI Registry.