Ihn Whan Roh, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D0018092 Issued in MD

Practice address

5107 Silver Hill Rd
Suitland, MD 20746-5213

Phone

(301) 568-1784

Fax

(301) 899-8250

NPI assigned

Jun 25, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Family Practice

Education

Other, 1963

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Dr.Roh & Shin'S Clinic

  • Family Medicine Physician
  • Suitland, MD
  • NPI 1104071646
  NPD (past)

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

{
    "created_epoch": "1119657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228089600000",
    "number": "1558367334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5107 SILVER HILL RD",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207465213",
            "telephone_number": "301-568-1784",
            "fax_number": "301-899-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5107 SILVER HILL RD",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207465213",
            "telephone_number": "301-568-1784",
            "fax_number": "301-899-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROH",
        "first_name": "IHN",
        "middle_name": "WHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-25",
        "last_updated": "2008-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0018092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY PARTNERS",
            "identifier": "27449",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "973071100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP OF MARYLAND COMMUNITY CARE",
            "identifier": "01034225",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Richardson
• Yarleen Rivera
• Alonza Dallas Roberts
• Jailen Robertson
• Katie Robinson
• Jasmin Roohi
• Kara Brady Rosenstrauch, LMSW
• Tavon Ross
• Rozita Rouzbeh, DAC
• Ryan Rehabilitation LLC

• Family Medicine Physician in Suitland, MD
• Providers in Suitland, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; 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.

Verify at the official NPI Registry.