Active NPI
Richard E Broth, M.D
- Maternal & Fetal Medicine Physician
- Silver Spring, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- D0064574
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 158004060 | Other | MD | MARYLAND PHYSICIANS CARE MCO |
| 268283 | Other | MD | KAISER |
| 7400548 | Other | MD | AMERICHOICE |
| 889124 | Other | MD | BCBS MARYLAND |
| 208515 | Other | MD | PRIORITY PARTNERS (JOHN HOPKINS HEALTH PLAN) |
| 7850486 | Other | MD | AETNA HMO |
| 7850486 | Other | MD | AETNA NON HMO |
| 0003 | Other | DC | BCBS NCA |
| 308439 | Other | MD | AMERIGROUP |
| 872173 | Other | MD | FIRST HEALTH/COVENTRY |
| 9304733 | Other | MD | PHCS |
| 7156605 | Other | MD | CIGNA |
| 771360 | Other | MD | NCPPO |
| 411254700 | Medicaid | MD | |
| 2163864 | Other | MD | UNITED 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dimensions Health Associates Dba University of Maryland Capital Region | Current | Accepting new patients | |
| TLC Perinatal Richard Broth MD PC | Maternal & Fetal Medicine | Current | Accepting new patients |
| Dimensions Healthcare Associates Inc | Current | Accepting new patients | |
| Capital Women'S Care, L.L.C. | Current | Accepting new patients | |
| Dimensions Healthcare Associates | Past | Accepting new patients | |
| PGHC Anesthesia Associates | Past | Accepting new patients | |
| PGHC Anesthesia Associates | Past | 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 | Past | Accepting new patients | |
| Dimensions Healthcare Associates, Inc. | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Dimensions Healthcare Associates, Inc | Past | Accepting new patients | |
| Dimensions Healthcare Associates, Inc. | Past | 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
- 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.
-
- Maternal & Fetal Medicine Physician
- Silver Spring, MD
- NPI 1992007827
DC
-
- Maternal & Fetal Medicine Physician
- Germantown, MD
- NPI 1245044510
-
- Internal Medicine Physician
- Oxon Hill, MD
- NPI 1407486293
-
- Internal Medicine Physician
- Laurel, MD
- NPI 1487714168
-
- Physical Medicine & Rehabilitation Physician
- Laurel, MD
- NPI 1568839439
-
- Trauma Surgery Physician
- Cheverly, MD
- NPI 1013055193
-
- Family Medicine Physician
- Suitland, MD
- NPI 1649682626
-
- Dentist
- Suitland, MD
- NPI 1417323288
-
- Internal Medicine Physician
- Suitland, MD
- NPI 1841615572
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.