Organization Active NPI

Gary M Roggin, MD, PA

  • Specialist
  • Bethesda, MD
National Provider Identifier
1164735163
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0004541 Issued in MI
Legal business name
GARY M ROGGIN, MD, PA
Practice address
10215 Fernwood Rd
Ste 401
Bethesda, MD 20817-1106
Phone
(301) 530-8003
NPI assigned
Jul 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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

Authorized official

Name
Hilda Getz
Title
Office Manager
Phone
(301) 530-8003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X D0004541 MI Primary

Addresses

Primary practice location

10215 Fernwood Rd
Ste 401
Bethesda, MD 20817-1106

Mailing address

10215 Fernwood Rd
Ste 401
Bethesda, MD 20817-1106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100720001018 DC Part B Supplier - Clinic/Group Practice 0345372710 Receives reassigned benefits from 1 practitioner
Practice locations: Bethesda, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D0948783Gary M Roggin MD10215 Fernwood Road Suite 401, Bethesda, MD 20817Certificate of waiverJul 19, 2026

National Provider Directory

National Provider Directory

Locations

10215 Fernwood Rd
Ste 260
Bethesda, MD 20817
Phone (301) 530-2800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1164735163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10215 FERNWOOD RD",
            "address_2": "STE 401",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10215 FERNWOOD RD",
            "address_2": "STE 401",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171106",
            "telephone_number": "301-530-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY M ROGGIN, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-19",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "GETZ",
        "authorized_official_first_name": "HILDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-530-8003"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "D0004541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.