Individual provider Active NPI

Roderick B Kreisberg, MD

  • Gastroenterology Physician
  • Charlottesville, VA
National Provider Identifier
1063403947
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0101238275 Issued in VA
Practice address
2250 Ivy Rd Ste 220
Charlottesville, VA 22903-4977
Phone
(434) 654-3710
Fax
(844) 948-9372
NPI assigned
Oct 31, 2005
Last updated
Mar 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 0101238275 VA Primary
Gastroenterology Physician 207RG0100X D0062987 MD

Addresses

Primary practice location

2250 Ivy Rd Ste 220
Charlottesville, VA 22903-4977

Mailing address

2250 Ivy Rd Ste 220
Charlottesville, VA 22903-4977
Phone (434) 654-3710

Other practice location 1

10801 Lockwood Dr
Suite 200
Silver Spring, MD 20901-1556
Phone (301) 593-2002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20050624000951 DC Practitioner - Gastroenterology 0345285763 Reassigns benefits to 1 organization
I20260313001158 VA Practitioner - Gastroenterology 0345285763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Maryland School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Digestive Care LLCGroup PAC ID 3870669419, 241 clinicians
Martha Jefferson Medical Group LLCGroup PAC ID 5991889081, 197 clinicians

Practice addresses (Care Compare)

14955 Shady Grove Rd
Suite 150
Rockville, MD 20850-8725
Phone (301) 340-3252

18101 Prince Philip Dr
Olney, MD 20832-1514
Phone (301) 774-8882

2021 K St NW
Suite T 110 Metroploitan Gastroenterology
Washington, DC 20061-1036
Phone (202) 296-3449

2250 Ivy Rd
Suite 220
Charlottesville, VA 22903-4977
Phone (434) 654-3710

7350 Van Dusen Rd
Suite 410
Laurel, MD 20707-5265
Phone (301) 498-5500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy60
Upper gastrointestinal (GI) endoscopy for acid reflux28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0062987MDMDGastroenterology Physician
0101238275VAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endoscopy Center of Washington DC LP Current Accepting new patients
Capital Digestive Care LLC Gastroenterology CurrentSince Jun 1, 2009 Accepting new patients
Martha Jefferson Medical Group LLC CurrentSince Apr 1, 2026 Accepting new patients
Capital Digestive Care, LLC Gastroenterology CurrentSince Jun 1, 2009 Accepting new patients
First Class Anesthesia, LLC Past Accepting new patients
David a. Morowitz Gastroenterology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Inpatient Specialists PA Past Accepting new patients
Capital Digestive Care ,LLC Gastroenterology Past Accepting new patients
Martha Jefferson Hospital PastSince Apr 1, 2026 Accepting new patients

Locations

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

20528 Boland Farm Rd
Ste 201
Germantown, MD 20876
Phone (301) 593-2002

3415 Olandwood Ct
Ste 101
Olney, MD 20832
Phone (301) 340-3252

15001 Shady Grove Rd
Ste 300
Rockville, MD 20850
Phone (301) 340-3252

15005 Shady Grove Rd
Ste 300
Rockville, MD 20850
Phone (301) 279-2255

15005 Shady Grove Rd
Ste 310
Rockville, MD 20850
Phone (301) 251-1771

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

10801 Lockwood Dr
Ste 110
Silver Spring, MD 20901
Phone (301) 593-2002

10801 Lockwood Dr
Ste 200
Silver Spring, MD 20901
Phone (301) 593-2002

12510 Prosperity Dr
Ste 200
Silver Spring, MD 20904
Phone (240) 485-5200

2250 Ivy Rd
Ste 220
Charlottesville, VA 22903
Phone 4346543710 ext. 89372

Interoperability endpoints

  • Direct secure messaging: roderick.kreisberg.capitaldigestivecare@directaddress.net

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1063403947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 IVY RD STE 220",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034977",
            "telephone_number": "434-654-3710",
            "fax_number": "844-948-9372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 IVY RD STE 220",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034977",
            "telephone_number": "434-654-3710",
            "fax_number": "844-948-9372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10801 Lockwood Dr",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209011556",
            "country_code": "US",
            "telephone_number": "301-593-2002",
            "fax_number": "301-593-4781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KREISBERG",
        "first_name": "RODERICK",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101238275",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D0062987",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.