Active NPI
Gary M Roggin, MD, PA
- Specialist
- Bethesda, MD
National Provider Identifier
1164735163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D0004541
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D0948783 | Gary M Roggin MD | Certificate of waiver | Jul 19, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.