Active NPI
Damian Paul Roussel, DPM
- Foot & Ankle Surgery Podiatrist
- Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 01449
- Practice address
- 86 Thomas Johnson CT
Frederick, MD 21702-4348 - Phone
- (301) 694-8311
- Fax
- (301) 694-3537
- NPI assigned
- Dec 22, 2006
- Last updated
- Jun 14, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC005669 | PA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 01449 | MD | Primary |
Addresses
Primary practice location
86 Thomas Johnson CT
Frederick, MD 21702-4348
Mailing address
51 Gideon Garth
Severna Park, MD 21146-4000
Phone (215) 668-1513
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | damian.roussel.1@3812.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
170 Thomas Johnson Dr
Suite 102
Frederick, MD 21702-6201
Phone (301) 594-8311
187 Thomas Johnson Dr
Frederick, MD 21702-4503
86 Thomas Johnson CT
Frederick, MD 21702-4348
Phone (301) 694-8311
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC005669 | PA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Nisenfeld & Chilton, M.D., P.a. | Current | Accepting new patients | |
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444
3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500
Interoperability endpoints
- 11droussel@cfaortho.emadirect.md
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Olney, MD
- NPI 1487093167
-
dba Orthopaedic Associates of Frederick
- Specialist
- Frederick, MD
- NPI 1588634570
-
- Physical Therapist
- Frederick, MD
- NPI 1548290224
-
- Orthopaedic Surgery Physician
- Potomac, MD
- NPI 1295174803
-
- Orthopaedic Surgery Physician
- Chestertown, MD
- NPI 1629441241
-
- Orthopaedic Surgery Physician
- Gainesville, VA
- NPI 1063393833
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Frederick Health Hospital
- 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": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592092800000",
"number": "1659436509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 GIDEON GARTH",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211464000",
"telephone_number": "215-668-1513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "86 THOMAS JOHNSON CT",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024348",
"telephone_number": "301-694-8311",
"fax_number": "301-694-3537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUSSEL",
"first_name": "DAMIAN",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-22",
"last_updated": "2020-06-14",
"certification_date": "2020-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "PA",
"license": "SC005669",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MD",
"license": "01449",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "damian.roussel.1@3812.direct.athenahealth.com",
"affiliation": "N",
"address_1": "86 Thomas Johnson Ct",
"city": "Frederick",
"state": "MD",
"country_code": "US",
"postal_code": "217024348",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2020; 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.