Roseanne Rotunda

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

H77018 Issued in MD

Practice address

15235 Shady Grove Rd
#102
Rockville, MD 20850-3234

Phone

(301) 330-9430

Fax

(301) 330-6515

NPI assigned

Jan 14, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Dec 29, 2015 through Dec 29, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Revitalize LLC

  • Internal Medicine Physician
  • Rockville, MD
  • NPI 1417238015
  NPD (past)

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1730501503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15235 SHADY GROVE RD",
            "address_2": "#102",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503234",
            "telephone_number": "301-330-9430",
            "fax_number": "301-330-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15235 SHADY GROVE RD",
            "address_2": "#102",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503234",
            "telephone_number": "301-330-9430",
            "fax_number": "301-330-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTUNDA",
        "first_name": "ROSEANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "H77018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi Roth, PT, DPT
• Richelle Jacqueline Roth
• Stuart Rothenberg, M.D.
• Wendy S Rothman, O.D.
• Amy Rothstein
• Yaser Fawaz Roumani, DDS
• Alexis Rounds
• Mackenzie Rounds
• Tasheena Roundtree
• Ashley Rouse

• Internal Medicine Physician in Rockville, MD
• Providers in Rockville, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.