NPIMap

Individual provider Active NPI

Roji Menon, MD

  • Internal Medicine Physician
  • Kensington, MD
National Provider Identifier
1639269046
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0057879 Issued in MD
Practice address
10901 Connecticut Ave
Suite # 100
Kensington, MD 20895
Phone
(301) 942-7900
Fax
(301) 942-9837
NPI assigned
Oct 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0057879 MD Primary

Addresses

Primary practice location

10901 Connecticut Ave
Suite # 100
Kensington, MD 20895

Mailing address

10901 Connecticut Ave
Suite # 100
Kensington, MD 20895
Phone (301) 942-7900

Other identifiers 1

IdentifierTypeStateIssuer
133505OtherPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070228000462 DC Practitioner - Internal Medicine 9638271216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Menon Medical Center LLCGroup PAC ID 3173848546, 2 clinicians

Practice addresses (Care Compare)

6010 Executive Blvd
Suite 1040
Rockville, MD 20852-3809
Phone (301) 942-9833

6410 Rockledge Dr
Suite 600
Bethesda, MD 20817-1844

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0057879MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Menon Medical Center LLC Internal Medicine CurrentSince Jan 1, 2015 Accepting new patients
Rita Pabla MD Internal Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Padder Health Services, LLC Internal Medicine Past Accepting new patients

Locations

10605 Concord St
Ste 300
Kensington, MD 20895
Phone (301) 424-6231

6010 Executive Blvd
Ste 1040
Rockville, MD 20852
Phone (301) 942-9833

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABEGAA/Endpoint/ABEGAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/AFEBAA

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243468800000",
    "number": "1639269046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10901 CONNECTICUT AVE",
            "address_2": "SUITE # 100",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "20895",
            "telephone_number": "301-942-7900",
            "fax_number": "301-942-9837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10901 CONNECTICUT AVE",
            "address_2": "SUITE # 100",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "20895",
            "telephone_number": "301-942-7900",
            "fax_number": "301-942-9837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENON",
        "first_name": "ROJI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-14",
        "last_updated": "2009-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0057879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "133505",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, MD

Sources for this page

Verify at the official NPI Registry.