Individual provider Active NPI

Jaheedah Aminah Roane, M.D.

  • Pediatric Cardiology Physician
  • Frederick, MD
National Provider Identifier
1346531985
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
D0086847 Issued in MD
Practice address
97 Thomas Johnson Dr
Frederick, MD 21702-4373
Phone
(410) 955-5000
NPI assigned
May 1, 2011
Last updated
Sep 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X D0086847 MD Primary

Addresses

Primary practice location

97 Thomas Johnson Dr
Frederick, MD 21702-4373

Mailing address

PO Box 10066
MC Lean, VA 22102-8066
Phone (571) 612-2600

Other practice location 1

180 Thomas Johnson Dr Ste 100
Frederick, MD 21702-4491
Phone (301) 662-0011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, NJ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200820003559 DC Practitioner - Pediatric Medicine 8729404702 Reassigns benefits to 1 organization
I20200826002989 VA Practitioner - Pediatric Medicine 8729404702 Reassigns benefits to 1 organization
I20260310003232 NJ Practitioner - Pediatric Medicine 8729404702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Peters University HospitalGroup PAC ID 9931012382, 158 clinicians

Practice addresses (Care Compare)

123 How LN
New Brunswick, NJ 08901-3653
Phone (732) 745-8600

254 Easton Ave
New Brunswick, NJ 08901-1766
Phone (732) 745-8600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0086847MDMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Peter's University Hospital CurrentSince Apr 1, 2026 Accepting new patients
Meritus Medical Center Inc Current Accepting new patients
Saint Peter's University Hospital CurrentSince Apr 1, 2026 Accepting new patients
Inova Health Care Services CurrentSince Jul 15, 2020 Accepting new patients
Inova Health Care Services CurrentSince Jul 15, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Children's Heart Institute Pediatric Cardiology PastSince Oct 21, 2025 Accepting new patients
Children's Multispecialty Clinic, PLC Past Accepting new patients
Children's Heart Institute Past Accepting new patients

Locations

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1304208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1346531985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10066",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221028066",
            "telephone_number": "571-612-2600",
            "fax_number": "571-266-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 THOMAS JOHNSON DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024373",
            "telephone_number": "410-955-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 Thomas Johnson Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024491",
            "country_code": "US",
            "telephone_number": "301-662-0011",
            "fax_number": "301-662-0012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROANE",
        "first_name": "JAHEEDAH",
        "middle_name": "AMINAH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-01",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "MD",
            "license": "D0086847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.