NPIMap

Individual provider Active NPI

Rosemary Iwunze, MD

  • Internal Medicine Physician
  • Fredericksburg, VA
National Provider Identifier
1205950284
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101263347 Issued in VA
Practice address
1101 Sam Perry Blvd Ste 307
Fredericksburg, VA 22401-4466
Phone
(540) 374-3277
Fax
(540) 741-9744
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0065720 MD
Internal Medicine Physician 207R00000X 0101263347 VA Primary

Addresses

Primary practice location

1101 Sam Perry Blvd Ste 307
Fredericksburg, VA 22401-4466

Mailing address

2300 Fall Hill Ave Ste 317
Fredericksburg, VA 22401-3343
Phone (407) 411-1005

Other identifiers 1

IdentifierTypeStateIssuer
414096600MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171025003103 VA Practitioner - Infectious DiseasePractitioner - Internal Medicine 9931296480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1101 Sam Perry Blvd
Fredericksburg, VA 22401-4466
Phone (540) 374-3277

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Washington Healthcare Physicians CurrentSince Sep 3, 2017 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Sep 3, 2017 Accepting new patients
Medstar Good Samaritan Physicians LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
The Good Samaritan Hospital of Maryland, Inc. Past Accepting new patients

Locations

2300 Fall Hill Ave
Ste 509
Fredericksburg, VA 22401

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

1101 Sam Perry Blvd
Ste 307
Fredericksburg, VA 22401
Phone (540) 374-3277

Interoperability endpoints

  • Direct secure messaging: riwunze14504@marywashingtonhealthcare.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1205950284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 FALL HILL AVE STE 317",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013343",
            "telephone_number": "407-411-1005",
            "fax_number": "540-741-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 SAM PERRY BLVD STE 307",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014466",
            "telephone_number": "540-374-3277",
            "fax_number": "540-741-9744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWUNZE",
        "first_name": "ROSEMARY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0065720",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101263347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "414096600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.