Individual provider Active NPI

Timothy Craig Romanoski, M.D.

  • Family Medicine Physician
  • Annapolis, MD
National Provider Identifier
1144451584
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D79865 Issued in MD
Practice address
116 Defense Hwy Ste 200
Annapolis, MD 21401-7045
Phone
(443) 203-8145
Fax
(443) 458-0650
NPI assigned
Aug 3, 2009
Last updated
Jul 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D79865 MD Primary

Addresses

Primary practice location

116 Defense Hwy Ste 200
Annapolis, MD 21401-7045

Mailing address

116 Defense Hwy Ste 200
Annapolis, MD 21401-7045
Phone (443) 203-8145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Dec 2, 2022 through Dec 2, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D79865MDMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: tromanoski34793@direct.aahs.org

NPI Registry JSON

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1144451584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 DEFENSE HWY STE 200",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017045",
            "telephone_number": "443-203-8145",
            "fax_number": "443-458-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 DEFENSE HWY STE 200",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017045",
            "telephone_number": "443-203-8145",
            "fax_number": "443-458-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMANOSKI",
        "first_name": "TIMOTHY",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D79865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.