Active NPI
Grace F Rozycki, MD
- Surgical Critical Care Physician
- Baltimore, MD
National Provider Identifier
1649352147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- D84967
- Practice address
- 600 N Wolfe Street
Zayed Suite 6107
Baltimore, MD 21287 - Phone
- (410) 550-0400
- Fax
- (443) 769-1233
- NPI assigned
- Oct 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 38938 | GA | |
| Surgery Physician | 208600000X | 01072535A | IN | |
| Surgery Physician | 208600000X | 01072535 | IN | |
| Surgical Critical Care Physician | 2086S0102X | D84967 | MD | Primary |
Addresses
Primary practice location
600 N Wolfe Street
Zayed Suite 6107
Baltimore, MD 21287
Mailing address
9910 Franklin Square Dr Ste 2110
Baltimore, MD 21236-4902
Phone (410) 933-6423
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000840644 | Other | IN | ANTHEM PIN |
| 201208370 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38938 | GA | MD | Specialist |
| 01072535 | IN | MD | Surgery Physician |
Interoperability endpoints
- grozycki494823@direct.hopkinsmedicine.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553212800000",
"number": "1649352147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9910 FRANKLIN SQUARE DR STE 2110",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212364902",
"telephone_number": "410-933-6423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N WOLFE STREET",
"address_2": "ZAYED SUITE 6107",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21287",
"telephone_number": "410-550-0400",
"fax_number": "443-769-1233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROZYCKI",
"first_name": "GRACE",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2019-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "38938",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "01072535A",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "01072535",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "MD",
"license": "D84967",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN",
"identifier": "000000840644",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201208370",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.