Individual provider Active NPI

Cynthia Roseberry Anderson, MD

  • Emergency Medicine Physician
  • Washington, DC
National Provider Identifier
1467492058
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD20984 Issued in DC
Practice address
2041 Georgia Ave NW
Washington, DC 20060-3002
Phone
(202) 595-3200
Fax
(202) 332-1781
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD20984 DC Primary

Addresses

Primary practice location

2041 Georgia Ave NW
Washington, DC 20060-3002

Mailing address

2041 Georgia Ave NW
Washington, DC 20060-3002
Phone (202) 595-3200

Other names 1

  • Cynthia Roseberry Anderson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20040507000512 DC Practitioner - Emergency Medicine 3375532161 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC Emergency Medicine CurrentSince Apr 1, 2016 Accepting new patients
Howard University Emergency Medicine CurrentSince Jan 1, 2014 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Apr 1, 2016 Accepting new patients
Parker's Lane Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Contee Emergency Physicians Emergency Medicine Past Accepting new patients
Virginia Em-1 Medical Services, PC Emergency Medicine Past Accepting new patients

Locations

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

1140 Varnum St NE
Ste 100
Washington, DC 20017
Phone (202) 854-7623

2041 Georgia Ave NW
Washington, DC 20060
Phone (202) 865-3785

1150 Varnum St NE
Washington, DC 20017
Phone (202) 269-7000

2101 Medical Park Dr
Ste 305
Silver Spring, MD 20902
Phone (301) 754-0833

Interoperability endpoints

  • Direct secure messaging: cynthia_anderson@c561b9d7.micromddirect.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1467492058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 GEORGIA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200603002",
            "telephone_number": "202-595-3200",
            "fax_number": "202-332-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 GEORGIA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200603002",
            "telephone_number": "202-595-3200",
            "fax_number": "202-332-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CYNTHIA",
        "middle_name": "ROSEBERRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "DC",
            "license": "MD20984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "ANDERSON",
            "middle_name": "ROSEBERRY",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.