Individual provider Active NPI

Ronald Shumacher, M.D.

  • Internal Medicine Physician
  • Rockville, MD
National Provider Identifier
1447593736
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D41931 Issued in MD
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

Updated by the provider on Apr 4, 2013

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DR-51153COMDInternal Medicine Physician
01070468AINMDInternal Medicine Physician
04-35627KSMDInternal Medicine Physician
4301099867MIMDInternal Medicine Physician
2011-01968NCMDInternal Medicine Physician
25MA09167300NJMDInternal Medicine Physician
MD444913PAMDInternal Medicine Physician
MD13770RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Services, PC PastSince Feb 13, 2012 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.

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.

Verify at the official NPI Registry.