Kelly Beth Lauter Roszko, MD, PHD

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

253731 Issued in MA

Practice address

30 Convent Dr Building 30
Bethesda, MD 20892

Phone

(617) 726-2865

NPI assigned

Jun 8, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Kelly Beth Lauter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1124348693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CONVENT DR BUILDING 30",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208920001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CONVENT DR BUILDING 30",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20892",
            "telephone_number": "617-726-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSZKO",
        "first_name": "KELLY",
        "middle_name": "BETH LAUTER",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-08",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MA",
            "license": "253731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "LAUTER",
            "middle_name": "BETH",
            "prefix": "DR.",
            "credential": "MD, PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jonathan Ross, M.D.
• Maria Rosa Ross, MSW
• Paul B Ross, D.P.M.
• Juliann Rossi
• Francis Rossignol, MD, FRCPC, DABMGG
• Leo C Rotello, MD
• Kayli Ann Roth, DO
• Kimberly Sue Roth, DPT
• Mark Roth, MD
• Cheryl Rothenberg

• Endocrinology, Diabetes & Metabolism Physician in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Endocrinology, Diabetes & Metabolism Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.