Individual provider Active NPI

Roger Amos Lewin, M.D.

  • Psychiatry Physician
  • Towson, MD
National Provider Identifier
1093920043
Registry record updated Jul 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D27329 Issued in MD
Practice address
504 Club LN
Towson, MD 21286-7302
Phone
(410) 828-7045
Fax
(410) 938-4444
NPI assigned
May 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D27329 MD Primary

Addresses

Primary practice location

504 Club LN
Towson, MD 21286-7302

Mailing address

504 Club LN
Towson, MD 21286-7302
Phone (410) 828-7045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101201000636 MD Practitioner - Psychiatry 1951597020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Wright State University Boonshoft School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6525 N Charles St
Suite 139
Towson, MD 21204-6829
Phone (410) 802-0159

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Roger a Lewin MD, LLC Psychiatry CurrentSince Dec 12, 2017 Accepting new patients

Locations

6525 N Charles St
Ste 139
Towson, MD 21204
Phone (410) 802-0159

Organizations & group practices 1

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": "1178928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278201600000",
    "number": "1093920043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 CLUB LN",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212867302",
            "telephone_number": "410-828-7045",
            "fax_number": "410-938-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 CLUB LN",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212867302",
            "telephone_number": "410-828-7045",
            "fax_number": "410-938-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIN",
        "first_name": "ROGER",
        "middle_name": "AMOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-12",
        "last_updated": "2010-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D27329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.