Individual provider Active NPI

John Roxborough IV, MD

  • Family Medicine Physician
  • Washington, DC
National Provider Identifier
1033630124
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD048736 Issued in DC
Practice address
4414 Benning Rd NE
Washington, DC 20019-4555
Phone
(202) 388-7891
Fax
(202) 548-8600
NPI assigned
Jun 29, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125.070326 IL
Family Medicine Physician 207Q00000X D0089405 MD
Family Medicine Physician 207Q00000X MD048736 DC Primary

Addresses

Primary practice location

4414 Benning Rd NE
Washington, DC 20019-4555

Mailing address

555 Mountcastle Rd
Springfield, IL 62704-1597
Phone (202) 207-6929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20210122000366 MD Practitioner - Family Practice 9032480249 Reassigns benefits to 1 organization
I20210122000692 DC Practitioner - Family Practice 9032480249 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3901 Randolph Rd
Silver Spring, MD 20902-1052
Phone (301) 949-4994

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD048736DCMDFamily Medicine Physician
D0089405MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Health Care, Inc. CurrentSince Aug 31, 2021 Accepting new patients
Baltimore Medical System, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Baltimore Medical System, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Unity Health Care Inc. CurrentSince Aug 31, 2021 Accepting new patients

Locations

4414 Benning Rd NE
Washington, DC 20019
Phone (202) 388-7891

1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000

1000 Stewart Ave
Glen Burnie, MD 21061

Interoperability endpoints

  • Direct secure messaging: john.roxborough.p1@direct.bmsi.nextgenshare.com
  • Direct secure messaging: john.roxborough@962001358618628.direct.elationemr.com

Organizations & group practices 5

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": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1033630124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 MOUNTCASTLE RD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627041597",
            "telephone_number": "202-207-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 BENNING RD NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200194555",
            "telephone_number": "202-388-7891",
            "fax_number": "202-548-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROXBOROUGH",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-29",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125.070326",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0089405",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "MD048736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.