Active NPI
Rita Judita Kolycius, MD
- Pediatrics Physician
- Rockville, MD
National Provider Identifier
1407830607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D037463
- Practice address
- 9901 Medical Center Dr
Nicu
Rockville, MD 20850-3357 - Phone
- (301) 279-6392
- NPI assigned
- Dec 1, 2005
- Sex
- Female
- Sole proprietor
- No
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 | D037463 | MD | Primary |
Addresses
Primary practice location
9901 Medical Center Dr
Nicu
Rockville, MD 20850-3357
Mailing address
4991 Lake Brook Dr
Suite 300
Glen Allen, VA 23060-9290
Phone (888) 627-4702
Other names 1
- Dr. Rita Kolycius Raley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D037463 | MD | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216771200000",
"number": "1407830607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4991 LAKE BROOK DR",
"address_2": "SUITE 300",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230609290",
"telephone_number": "888-627-4702",
"fax_number": "240-364-2539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9901 MEDICAL CENTER DR",
"address_2": "NICU",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503357",
"telephone_number": "301-279-6392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLYCIUS",
"first_name": "RITA",
"middle_name": "JUDITA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-01",
"last_updated": "2008-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D037463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RITA",
"last_name": "RALEY",
"middle_name": "KOLYCIUS",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.