Individual provider Active NPI

Richard E Broth, M.D

  • Maternal & Fetal Medicine Physician
  • Silver Spring, MD
National Provider Identifier
1508854555
Registry record updated Mar 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
D0064574 Issued in MD
Practice address
10801 Lockwood Dr
Suite 300
Silver Spring, MD 20901-1556
Phone
(301) 681-0004
Fax
(512) 532-0871
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X D0064574 MD Primary

Addresses

Primary practice location

10801 Lockwood Dr
Suite 300
Silver Spring, MD 20901-1556

Mailing address

10801 Lockwood Dr
Suite 300
Silver Spring, MD 20901-1556
Phone (301) 681-0004

Other identifiers 15

IdentifierTypeStateIssuer
158004060OtherMDMARYLAND PHYSICIANS CARE MCO
268283OtherMDKAISER
7400548OtherMDAMERICHOICE
889124OtherMDBCBS MARYLAND
208515OtherMDPRIORITY PARTNERS (JOHN HOPKINS HEALTH PLAN)
7850486OtherMDAETNA HMO
7850486OtherMDAETNA NON HMO
0003OtherDCBCBS NCA
308439OtherMDAMERIGROUP
872173OtherMDFIRST HEALTH/COVENTRY
9304733OtherMDPHCS
7156605OtherMDCIGNA
771360OtherMDNCPPO
411254700MedicaidMD
2163864OtherMDUNITED HEALTHCARE

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
I20100414000098 DC Practitioner - Obstetrics/Gynecology 0749244739 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dimensions Health Associates Dba University of Maryland Capital Region CurrentSince Oct 16, 2012 Accepting new patients
TLC Perinatal Richard Broth MD PC Maternal & Fetal Medicine CurrentSince Feb 8, 2010 Accepting new patients
Dimensions Healthcare Associates Inc CurrentSince Oct 16, 2012 Accepting new patients
Capital Women'S Care, L.L.C. CurrentSince Jul 1, 2025 Accepting new patients
Dimensions Healthcare Associates PastSince Feb 8, 2010 Accepting new patients
PGHC Anesthesia Associates PastSince Feb 8, 2010 Accepting new patients
PGHC Anesthesia Associates PastSince Feb 8, 2010 Accepting new patients
TLC Perinatal Richard Broth MD PC Maternal & Fetal Medicine Past Accepting new patients
Virtua Medical Group, PA Maternal & Fetal Medicine Past Accepting new patients
Dimensions Healthcare Associates Inc PastSince Feb 8, 2010 Accepting new patients
Dimensions Healthcare Associates, Inc. PastSince Feb 8, 2010 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Dimensions Healthcare Associates, Inc PastSince Feb 8, 2010 Accepting new patients
Dimensions Healthcare Associates, Inc. PastSince Feb 8, 2010 Accepting new patients

Locations

2900 Mercy Ln
Cheverly, MD 20785
Phone (301) 618-2010

12800 Middlebrook Rd
Ste 410
Germantown, MD 20874
Phone (301) 681-0004

3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000

9711 Medical Center Dr
Ste 109
Rockville, MD 20850
Phone (301) 762-5501

10801 Lockwood Dr
Ste 300
Silver Spring, MD 20901
Phone (301) 681-0004

901 Harry S Truman Dr N
Uppr Marlboro, MD 20774
Phone (240) 677-0021

Interoperability endpoints

  • Direct secure messaging: rbroth801441@direct.umm.edu

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301270400000",
    "number": "1508854555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 LOCKWOOD DR",
            "address_2": "SUITE 300",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011556",
            "telephone_number": "301-681-0004",
            "fax_number": "512-532-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 LOCKWOOD DR",
            "address_2": "SUITE 300",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011556",
            "telephone_number": "301-681-0004",
            "fax_number": "512-532-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROTH",
        "first_name": "RICHARD",
        "middle_name": "E",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2011-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MD",
            "license": "D0064574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND PHYSICIANS CARE MCO",
            "identifier": "158004060",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "268283",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "7400548",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MARYLAND",
            "identifier": "889124",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY PARTNERS (JOHN HOPKINS HEALTH PLAN)",
            "identifier": "208515",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "7850486",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NON HMO",
            "identifier": "7850486",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NCA",
            "identifier": "0003",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "308439",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH/COVENTRY",
            "identifier": "872173",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9304733",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7156605",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "771360",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "411254700",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2163864",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.