Jaheedah Aminah Roane, M.D.
Individual provider Active NPI Pediatric Cardiology Physician · Frederick, MD
NPI 1346531985 · NPPES record last updated Sep 5, 2023
Key facts
- NPI
- 1346531985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Cardiology Physician 2080P0202X
- License
- D0086847 (MD)
- Practice address
- 97 Thomas Johnson Dr
Frederick, MD 21702-4373 - Phone
- (410) 955-5000
- NPI assigned
- May 1, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Saint Peters University Hospital
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in DC, VA, NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0086847 | MD | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current |
Accepting new patients | |
| Saint Peter'S University Hospital | Current |
Accepting new patients | |
| Inova Health Care Services | Current |
Accepting new patients | |
| Saint Peter'S University Hospital | Current |
Accepting new patients | |
| Meritus Medical Center Inc | Current | Accepting new patients | |
| Children'S Multispecialty Clinic, PLC | Past | Accepting new patients | |
| Children'S Heart Institute | Pediatric Cardiology | Past |
Accepting new patients |
| Children'S Heart Institute | Past | Accepting new patients | |
| Frederick Health Hospital Inc | 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
- https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | D0086847 | MD | Yes |
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
Other providers in Frederick, MD
- RM Health Services, Inc.
- RM Health Services, LLC
- Alvin S. Ro
- Christopher Roach
- Jacqueline Roach
- Christie J Robbins
- Harleigh Brice Robbins
- Kai Micah Robbins
- Robert Bruce Hodges, M.D. P.a.
- Robert D Crouch, MD, PA
All providers in Frederick, MD · Pediatric Cardiology Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.