Individual provider Active NPI

Romtin Sharolli

  • Family Nurse Practitioner
  • Temple Hills, MD
National Provider Identifier
1508361510
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R233931 Issued in MD
Practice address
4333 Old Branch Ave
Temple Hills, MD 20748
Phone
(455) 130-1423
NPI assigned
Mar 30, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024176701 VA
Family Nurse Practitioner 363LF0000X R233931 MD Primary

Addresses

Primary practice location

4333 Old Branch Ave
Temple Hills, MD 20748

Mailing address

4333 Old Branch Ave
Temple Hills, MD 20748-1848
Phone (301) 423-4551

Other practice location 1

155 Potomac Psge Unit 409
Oxon Hill, MD 20745-1568
Phone (571) 414-9905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181210002237 DC Practitioner - Nurse Practitioner 0648514174 Reassigns benefits to 3 organizations
I20181228000034 MD Practitioner - Nurse Practitioner 0648514174 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patient First Maryland Medical Group PLLCGroup PAC ID 4385538735, shared by 26 NPIs, 258 clinicians

Practice addresses (Care Compare)

10755 Falls Rd
Suite 160
Lutherville, MD 21093-4588
Phone (410) 583-2777

9000 Woodyard Rd
Clinton, MD 20735-4206
Phone (240) 546-3428

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R233931MDMDFamily Nurse Practitioner
0024176701VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First Maryland Medical Group, PLLC CurrentSince Jun 15, 2021 Accepting new patients
Imind Health LLC CurrentSince Jan 10, 2019 Accepting new patients
Patient First Maryland Medical Group PLLC CurrentSince Jun 15, 2021 Accepting new patients
Medstar Urgent Care, LLC Current Accepting new patients
Imind Health LLC CurrentSince Jan 10, 2019 Accepting new patients
Patient First Maryland Medical Group PLLC CurrentSince Jun 15, 2021 Accepting new patients

Locations

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

44980 Saint Andrews Church Rd
Ste A
California, MD 20619

9000 Woodyard Rd
Clinton, MD 20735
Phone (240) 546-3248

7698 Dorchester Blvd
Ste 204
Hanover, MD 21076

4640 Forbes Blvd
Ste 375
Lanham, MD 20706
Phone (240) 249-0989

10210 Reisterstown Rd
Owings Mills, MD 21117
Phone (410) 902-6776

12220 Rockville Pike
Rockville, MD 20852
Phone (301) 468-6483

726 Rockville Pike
Rockville, MD 20852
Phone (240) 238-0411

10755 Falls Rd
Ste 160
Timonium, MD 21093
Phone (410) 583-2777

2855 Crain Hwy
Waldorf, MD 20601
Phone (240) 427-1926

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

3350 Crain Hwy
Waldorf, MD 20603
Phone (443) 332-4260

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

Organizations & group practices 7

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": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1508361510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 OLD BRANCH AVE",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481848",
            "telephone_number": "301-423-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 OLD BRANCH AVE",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "20748",
            "telephone_number": "455-130-1423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Potomac Psge Unit 409",
            "address_purpose": "LOCATION",
            "city": "Oxon Hill",
            "state": "MD",
            "postal_code": "207451568",
            "country_code": "US",
            "telephone_number": "571-414-9905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAROLLI",
        "first_name": "ROMTIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-30",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024176701",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R233931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Hills, MD

Sources for this page

Verify at the official NPI Registry.