Individual provider Active NPI

Roanna Kessler, M.D.

  • Pediatrics Physician
  • Baltimore, MD
National Provider Identifier
1194983304
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0082378 Issued in MD
Practice address
1 E 31St St # N200
Baltimore, MD 21218-3902
Phone
(410) 516-8270
Fax
(410) 516-4784
NPI assigned
May 26, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD040304 DC
Pediatrics Physician 208000000X 252656-1 NY
Pediatrics Physician 208000000X D0082378 MD Primary

Addresses

Primary practice location

1 E 31St St # N200
Baltimore, MD 21218-3902

Mailing address

6500 Stratford Rd
Chevy Chase, MD 20815-5317
Phone (646) 825-1051

Other names 1

  • Dr. Roanna Trisdorfer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0082378MDMDPediatrics Physician
252656-1NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Student Health and Wellness Center CurrentSince Nov 19, 2023 Accepting new patients

Locations

1 E 31st St
#N200
Baltimore, MD 21218
Phone (410) 516-3311

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": "1211760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1194983304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 STRATFORD RD",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208155317",
            "telephone_number": "646-825-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E 31ST ST # N200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212183902",
            "telephone_number": "410-516-8270",
            "fax_number": "410-516-4784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSLER",
        "first_name": "ROANNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-26",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DC",
            "license": "MD040304",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "252656-1",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0082378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROANNA",
            "last_name": "TRISDORFER",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.