Active NPI
Roanna Kessler, M.D.
- Pediatrics Physician
- Baltimore, MD
National Provider Identifier
1194983304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D0082378
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| D0082378 | MD | MD | Pediatrics Physician |
| 252656-1 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Student Health and Wellness Center | Current | 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.
-
- Student Health Clinic/Center
- Baltimore, MD
- NPI 1669699922
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.