Active NPI
Wylie Roland Rogers
- Anesthesiology Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD035838
- Practice address
- 2120 L St NW
Lbby Level
Washington, DC 20037-1527 - Phone
- (202) 715-4600
- Fax
- (202) 862-5489
- NPI assigned
- Dec 8, 2006
- Last updated
- Apr 3, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD035838 | DC | Primary |
Addresses
Primary practice location
2120 L St NW
Lbby Level
Washington, DC 20037-1527
Mailing address
2150 Pennsylvania Ave NW
Washington, DC 20037-3201
Phone (202) 741-3333
Other practice location 1
2041 Georgia Ave NW Ste B105
Washington, DC 20060-1527
Phone (202) 865-6100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 037553500 | Medicaid | DC | |
| 010239052 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Drexel University College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
60 E Delaware PL
FL 15
Chicago, IL 60611-1998
Phone (312) 440-5150
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD035838 | DC | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ambulatory Anesthesiologists of Chicago, LLC | Anesthesiology | Current | Accepting new patients |
| Medical Faculty Associates, Inc | Anesthesiology | Past | Accepting new patients |
Locations
7456 S State Rd
Ste 300
Bedford Park, IL 60638
Phone (708) 424-6500
60 E Delaware Pl
Fl 15
Chicago, IL 60611
Phone (312) 440-5150
27650 Ferry Rd
Warrenville, IL 60555
Phone (630) 225-2345
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1659306272
-
- Anesthesiology Physician
- Washington, DC
- NPI 1417990581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585872000000",
"number": "1093874505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 PENNSYLVANIA AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200373201",
"telephone_number": "202-741-3333",
"fax_number": "202-741-3396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 L ST NW",
"address_2": "LBBY LEVEL",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200371527",
"telephone_number": "202-715-4600",
"fax_number": "202-862-5489"
}
],
"practiceLocations": [
{
"address_1": "2041 Georgia Ave NW Ste B105",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200601527",
"country_code": "US",
"telephone_number": "202-865-6100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROGERS",
"first_name": "WYLIE",
"middle_name": "ROLAND",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2020-04-03",
"certification_date": "2020-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "DC",
"license": "MD035838",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "037553500",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010239052",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.