Active NPI
Anna Watkin Roose
- Pediatrics Physician
- Baltimore, MD
National Provider Identifier
1346943289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D0105909
- Practice address
- 22 S Greene St
Baltimore, MD 21201-1544 - Phone
- (410) 328-8667
- NPI assigned
- Mar 22, 2023
- Last updated
- Apr 29, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D0105909 | MD | Primary |
Addresses
Primary practice location
22 S Greene St
Baltimore, MD 21201-1544
Mailing address
8910 Old Frederick Rd
Ellicott City, MD 21043-1926
Other names 1
- Anna Lee Watkin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260527002552 | MD | Practitioner - Pediatric Medicine | 3779939947 |
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Indiana University School of Medicine, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
110 S Paca St
08 153
Baltimore, MD 21201-1642
8 Oak Park Dr
Bedford, MA 01730-1414
8910 Old Frederick Rd
Ellicott City, MD 21043-1926
900 Elkridge Landing Rd
Linthicum, MD 21090-2924
PO Box
Suite 778
Easton, MD 21601
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0105909 | MD | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777420800000",
"number": "1346943289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8910 OLD FREDERICK RD",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210431926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 S GREENE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011544",
"telephone_number": "410-328-8667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROOSE",
"first_name": "ANNA",
"middle_name": "WATKIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-22",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D0105909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNA",
"last_name": "WATKIN",
"middle_name": "LEE",
"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 Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.