Individual provider Active NPI

David Henry Roelkey V, M.D.

  • Family Medicine Physician
  • Boonsboro, MD
National Provider Identifier
1497927743
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D91694 Issued in MD
Practice address
20311 Lappans Rd Ste 100
Boonsboro, MD 21713-2086
Phone
(301) 799-1098
Fax
(301) 799-1367
NPI assigned
Mar 27, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 24525 WV
Family Medicine Physician 207Q00000X D91694 MD Primary

Addresses

Primary practice location

20311 Lappans Rd Ste 100
Boonsboro, MD 21713-2086

Mailing address

20311 Lappans Rd Ste 100
Boonsboro, MD 21713-2086
Phone (301) 799-1098

Other practice location 1

912 Somerset Blvd Ste 102
Charles Town, WV 25414-3952
Phone (304) 725-2273

Other identifiers 1

IdentifierTypeStateIssuer
3810020923MedicaidWV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address droelkey5515@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20210629000291 MD Practitioner - Family Practice 6305019431 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
U N I Medical Care IncGroup PAC ID 7517035611, 21 clinicians
Pleasant Valley Primary CareGroup PAC ID 4688047954, 2 clinicians

Practice addresses (Care Compare)

11236 Robinwood Dr
Suite 101
Hagerstown, MD 21742-6800
Phone (240) 313-4242

20311 Lappans Rd
Suite 100
Boonsboro, MD 21713-2086
Phone (301) 799-1098

Hospital & facility affiliations

  • Hospice of Washington County, Inc Hospice, Hagerstown, MD, CCN 211511

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D91694MDMDFamily Medicine Physician
24525WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
U N I Medical Care Inc CurrentSince Mar 25, 2021 Accepting new patients
Pleasant Valley Primary Care Family Medicine CurrentSince Mar 25, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
University Healthcare Physicians, Inc. PastSince Nov 6, 2022 Accepting new patients

Locations

20311 Lappans Rd
Ste 100
Boonsboro, MD 21713
Phone (301) 432-8470

6030 Daybreak Cir
Ste A150179
Clarksville, MD 21029

11236 Robinwood Dr
Ste 101
Hagerstown, MD 21742
Phone (240) 313-4242

826 Washington Rd
Ste 110A
Westminster, MD 21157
Phone (410) 751-7480

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHHJCD/Endpoint/EHHJCD

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 1

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": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1497927743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20311 LAPPANS RD STE 100",
            "city": "BOONSBORO",
            "state": "MD",
            "postal_code": "217132086",
            "telephone_number": "301-799-1098",
            "fax_number": "301-799-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20311 LAPPANS RD STE 100",
            "city": "BOONSBORO",
            "state": "MD",
            "postal_code": "217132086",
            "telephone_number": "301-799-1098",
            "fax_number": "301-799-1367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "912 Somerset Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Charles Town",
            "state": "WV",
            "postal_code": "254143952",
            "country_code": "US",
            "telephone_number": "304-725-2273",
            "fax_number": "304-725-0053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROELKEY",
        "first_name": "DAVID",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "name_suffix": "V",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-27",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "24525",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D91694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810020923",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "droelkey5515@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "912 Somerset Blvd Ste 102",
            "city": "Charles Town",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254143954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boonsboro, MD

Sources for this page

Verify at the official NPI Registry.