Individual provider Active NPI

Robert Joseph Shroyer, MD

  • Diagnostic Radiology Physician
  • Columbia, MD
National Provider Identifier
1386910370
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D87001 Issued in MD
Practice address
5500 Knoll North Dr Ste 190
Columbia, MD 21045-2487
Phone
(443) 917-2700
Fax
(410) 415-1418
NPI assigned
Mar 24, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD046899 DC
Diagnostic Radiology Physician 2085R0202X D87001 MD Primary

Addresses

Primary practice location

5500 Knoll North Dr Ste 190
Columbia, MD 21045-2487

Mailing address

3201 Jermantown Rd Ste 550
Fairfax, VA 22030-2885
Phone (703) 667-8600

Other practice location 1

30400 Detroit Rd Ste 30
Westlake, OH 44145-1872
Phone (440) 808-6736

Other practice location 2

6800 Ridge Rd Ste 130
Parma, OH 44129-5627
Phone (440) 201-4205

Other practice location 3

19250 Bagley Rd Ste 202
Middleburg Heights, OH 44130-3348
Phone (440) 260-9970

Other practice location 4

3443 Medina Rd Ste 103
Medina, OH 44256-5965
Phone (330) 723-6600

Other practice location 5

4760 Richmond Rd Ste 300
Warrensville Heights, OH 44128-5979
Phone (216) 765-8390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20170707001595 NY Practitioner - Diagnostic Radiology 5991074825 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Services of Kips Bay PCGroup PAC ID 0143635524, 14 clinicians
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

170 Great Neck Rd
Great Neck, NY 11021-3357
Phone (516) 487-4464

27005 75TH Ave
New Hyde Park, NY 11040-1402
Phone (718) 470-7000

9525 Queens Blvd
Rego Park, NY 11374-4510
Phone (718) 360-5522

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD046899DCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southside Faculty Medical Affiliates University Faculty Practice Corp CurrentSince Oct 1, 2023 Accepting new patients
Medical Services of Kips Bay PC CurrentSince Jul 15, 2024 Accepting new patients
Medical Services of Kips Bay PC CurrentSince Jul 15, 2024 Accepting new patients
North Shore-Lij Medical PC CurrentSince Jul 16, 2022 Accepting new patients

Locations

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

825 Northern Blvd
Ste 201
Great Neck, NY 11021
Phone (516) 396-7846

170 Great Neck Rd
Great Neck, NY 11021
Phone (516) 487-4464

1421 3rd Ave
New York, NY 10028
Phone (212) 744-5538

300 Community Dr
Plandome, NY 11030

9525 Queens Blvd
Frnt 2
Rego Park, NY 11374
Phone (718) 360-5522

1220 Hicksville Rd
Seaford, NY 11783

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: rshroyer68736@northwell.direct-ci.com

Organizations & group practices 4

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 6

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": "1332547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1386910370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 JERMANTOWN RD STE 550",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302885",
            "telephone_number": "703-667-8600",
            "fax_number": "703-667-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 KNOLL NORTH DR STE 190",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452487",
            "telephone_number": "443-917-2700",
            "fax_number": "410-415-1418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30400 Detroit Rd Ste 30",
            "address_purpose": "LOCATION",
            "city": "Westlake",
            "state": "OH",
            "postal_code": "441451872",
            "country_code": "US",
            "telephone_number": "440-808-6736",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6800 Ridge Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Parma",
            "state": "OH",
            "postal_code": "441295627",
            "country_code": "US",
            "telephone_number": "440-201-4205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19250 Bagley Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Middleburg Heights",
            "state": "OH",
            "postal_code": "441303348",
            "country_code": "US",
            "telephone_number": "440-260-9970",
            "fax_number": "440-626-6161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3443 Medina Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Medina",
            "state": "OH",
            "postal_code": "442565965",
            "country_code": "US",
            "telephone_number": "330-723-6600",
            "fax_number": "330-725-6671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4760 Richmond Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Warrensville Heights",
            "state": "OH",
            "postal_code": "441285979",
            "country_code": "US",
            "telephone_number": "216-765-8390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHROYER",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-24",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DC",
            "license": "MD046899",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D87001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.