Active NPI
Ronald Shumacher, M.D.
- Internal Medicine Physician
- Rockville, MD
National Provider Identifier
1447593736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D41931
- Practice address
- 800 King Farm Blvd
Suite 600
Rockville, MD 20850-5979 - Phone
- (240) 683-5331
- NPI assigned
- Apr 4, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D41931 | MD | Primary |
| Internal Medicine Physician | 207R00000X | MD13770 | RI | |
| Internal Medicine Physician | 207R00000X | DR-51153 | CO | |
| Internal Medicine Physician | 207R00000X | 01070468A | IN | |
| Internal Medicine Physician | 207R00000X | 04-35627 | KS | |
| Internal Medicine Physician | 207R00000X | 4301099867 | MI | |
| Internal Medicine Physician | 207R00000X | 25MA09167300 | NJ | |
| Internal Medicine Physician | 207R00000X | 2011-01968 | NC | |
| Internal Medicine Physician | 207R00000X | MD444913 | PA |
Addresses
Primary practice location
800 King Farm Blvd
Suite 600
Rockville, MD 20850-5979
Mailing address
112 Fox Trail Ter
Gaithersburg, MD 20878-2683
Phone (301) 424-3595
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 |
|---|---|---|---|
| DR-51153 | CO | MD | Internal Medicine Physician |
| 01070468A | IN | MD | Internal Medicine Physician |
| 04-35627 | KS | MD | Internal Medicine Physician |
| 4301099867 | MI | MD | Internal Medicine Physician |
| 2011-01968 | NC | MD | Internal Medicine Physician |
| 25MA09167300 | NJ | MD | Internal Medicine Physician |
| MD444913 | PA | MD | Internal Medicine Physician |
| MD13770 | RI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Services, PC | 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.
-
- Nurse Practitioner
- Eden Prairie, MN
- NPI 1144769241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365033600000",
"number": "1447593736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 FOX TRAIL TER",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208782683",
"telephone_number": "301-424-3595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 KING FARM BLVD",
"address_2": "SUITE 600",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208505979",
"telephone_number": "240-683-5331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUMACHER",
"first_name": "RONALD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-04",
"last_updated": "2013-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D41931",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD13770",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "DR-51153",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01070468A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KS",
"license": "04-35627",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301099867",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA09167300",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2011-01968",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD444913",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Apr 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.