Active NPI
David Henry Roelkey V, M.D.
- Family Medicine Physician
- Boonsboro, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D91694
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810020923 | Medicaid | WV |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D91694 | MD | MD | Family Medicine Physician |
| 24525 | WV | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U N I Medical Care Inc | Current | Accepting new patients | |
| Pleasant Valley Primary Care | Family Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| University Healthcare Physicians, Inc. | Past | 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
- 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.
-
- Family Medicine Physician
- Boonsboro, MD
- NPI 1346962149
Family Medicine, MD
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1982311353
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Hagerstown, MD
- NPI 1710064878
Hospice
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.