Ethan Samuel Rogers, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

D76143 Issued in MD

Practice address

7501 Osler Dr
Building a, Suite 205
Towson, MD 21204-7733

Phone

(410) 427-5510

NPI assigned

Nov 21, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

University of Maryland School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Maryland St Joseph Medical Group LLCGroup PAC ID 4880846179, 288 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of MD St Joseph Medical Center Hospital, Towson, MD, CCN 210063
• University of Maryland Medical Center Hospital, Baltimore, MD, CCN 210002

Merit-based Incentive Payment System (MIPS)

Final score

87.09 of 100Reported as group

Quality

79.06

Promoting interoperability

100

Improvement activities

40

Cost

77.9

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: erogers122203@direct.umm.edu

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.

• University of Maryland St. Joseph Medical Group, LLC

  • General Practice Physician
  • Towson, MD
  • NPI 1770836785
  Medicare reassignment Care Compare group NPD
• University of Maryland St. Joseph Medical Group, LLC

  • Surgical Assistant
  • Towson, MD
  • NPI 1053816074
  NPD

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

• University of Maryland Medical Center, LLC

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1174660120
  Care Compare affiliation
• University of Maryland St. Joseph Medical Center, LLC

  • General Acute Care Hospital
  • Towson, MD
  • NPI 1124374079
  Care Compare affiliation

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1386899078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 OSLER DR",
            "address_2": "BUILDING A, SUITE 205",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047733",
            "telephone_number": "410-427-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 OSLER DR",
            "address_2": "BUILDING A, SUITE 205",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047733",
            "telephone_number": "410-427-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "ETHAN",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-21",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0116019537",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D76143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Dane Roeuth, MD
• Roger a Lewin MD, LLC
• Roger Theodore, M.D., P.a.
• Barbara Rogers, CRNA
• Casey Kennedy Rogers, PA
• Katherine Merriman Rogers
• Kathryn A. Rogers, MSW, LGSW
• Lashawn Monique Rogers, MS, BA, CIT-AD
• Matthew Rogers, M.D.
• Samantha Ann Rogers, DNP, PMHNP-BC

• Surgery Physician in Towson, MD
• Providers in Towson, MD by specialty
• Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.

Verify at the official NPI Registry.