NPIMap

Individual provider Active NPI

Rohan Dalwadi, DO

  • Family Medicine Physician
  • Hagerstown, MD
National Provider Identifier
1699354563
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H0098700 Issued in MD
Practice address
13620 Crayton Blvd Ste B
Hagerstown, MD 21742-2335
Phone
(240) 313-9890
NPI assigned
Apr 6, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X H0098700 MD Primary

Addresses

Primary practice location

13620 Crayton Blvd Ste B
Hagerstown, MD 21742-2335

Mailing address

1 Black Oak CT
Reisterstown, MD 21136-1600
Phone (443) 204-2320

Other practice location 1

11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Phone (301) 790-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20241014004816 MD Practitioner - Family Practice 8628477957 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Edward Via Col of Osteo Medicine-Virginia Campus, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meritus Medical Center Inc 730 clinicians
Medical Practices of Antietam, LLC 229 clinicians

Practice addresses (Care Compare)

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

13620 Crayton Blvd
Hagerstown, MD 21742-2335
Phone (240) 313-9890

Hospital & facility affiliations

  • Home Call Home health agency, Frederick, MD, CCN 217040
  • Meritus Medical Center, Inc Home health agency, Hagerstown, MD, CCN 217085

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Meritus Urgent Care LLC CurrentSince Jul 15, 2024 Accepting new patients
Medical Practices of Antietam LLC CurrentSince Jul 15, 2024 Accepting new patients
Medical Practices of Antietam, LLC Family Medicine CurrentSince Jul 15, 2024 Accepting new patients
Meritus Urgent Care, LLC CurrentSince Jul 15, 2024 Accepting new patients
Meritus Medical Laboratory LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

17301 Valley Mall Rd
Ste 125
Hagerstown, MD 21740
Phone (301) 790-9236

13620 Crayton Blvd
Ste B
Hagerstown, MD 21742
Phone (240) 313-9890

13620 Crayton Blvd
Hagerstown, MD 21742
Phone (240) 313-3100

3 Byrkit Dr
Williamsport, MD 21795
Phone (301) 582-1150

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 2

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": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1699354563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BLACK OAK CT",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211361600",
            "telephone_number": "443-204-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13620 CRAYTON BLVD STE B",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422335",
            "telephone_number": "240-313-9890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11116 Medical Campus Rd",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217426710",
            "country_code": "US",
            "telephone_number": "301-790-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALWADI",
        "first_name": "ROHAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-06",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H0098700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.