Active NPI
Thomas Rogers
- General Practice Physician
- Groton, CT
National Provider Identifier
1699414763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 0102208264
- Practice address
- PO Box 159
Groton, CT 06349-5159 - Phone
- (860) 694-2876
- Fax
- (860) 694-3874
- NPI assigned
- May 27, 2022
- 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 |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | 0116037098 | VA | |
| General Practice Physician | 208D00000X | 0102208264 | VA | Primary |
Addresses
Primary practice location
PO Box 159
Groton, CT 06349-5159
Mailing address
PO Box 397
Kahului, HI 96733-6897
Other practice location 1
PSC 1005 Box 11185
Fpo, AA 34009-0112
Phone (757) 458-2998 ext. 1
Other practice location 2
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone (757) 953-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0116037098 | VA | MD | Military Health Care Provider |
| 0102208264 | VA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780876800000",
"number": "1699414763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 397",
"city": "KAHULUI",
"state": "HI",
"postal_code": "967336897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 159",
"city": "GROTON",
"state": "CT",
"postal_code": "063495159",
"telephone_number": "860-694-2876",
"fax_number": "860-694-3874"
}
],
"practiceLocations": [
{
"address_1": "PSC 1005 Box 11185",
"address_purpose": "LOCATION",
"city": "FPO",
"state": "AA",
"postal_code": "340090112",
"country_code": "US",
"telephone_number": "757-458-2998 x1",
"country_name": "United States",
"address_type": "MIL"
},
{
"address_1": "620 John Paul Jones Cir",
"address_purpose": "LOCATION",
"city": "Portsmouth",
"state": "VA",
"postal_code": "237082111",
"country_code": "US",
"telephone_number": "757-953-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROGERS",
"first_name": "THOMAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-27",
"last_updated": "2026-06-08",
"certification_date": "2026-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "VA",
"license": "0116037098",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "0102208264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Groton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.